Individual provider Active NPI

Justin Guy Rivera, PHYSICIAN ASSISTANT

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1346884806
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14175 Issued in TX
Practice address
6841 San Pedro Ave
San Antonio, TX 78216-7202
Phone
(210) 901-6743
NPI assigned
Oct 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA57420 CA
Urgent Care Clinic/Center 261QU0200X PA14175 TX
Physician Assistant 363A00000X PA14175 TX Primary

Addresses

Primary practice location

6841 San Pedro Ave
San Antonio, TX 78216-7202

Mailing address

8107 Silver Hampton
San Antonio, TX 78254-2805
Phone (951) 990-0268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001596 TX Practitioner - Physician Assistant 7012323769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

17910 Bulverde Rd
Suite 115
San Antonio, TX 78259-3762
Phone (210) 906-8478

9230 Potranco Rd
Suite 108
San Antonio, TX 78251-3023
Phone (210) 890-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57420CAMDFamily Medicine Physician
PA14175TXMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Dripping Springs Urgent Care Current Accepting new patients
Fast Track Urgent Care - Bastrop Urgent Care CurrentSince Jun 1, 2025 Accepting new patients
Nluc PLLC Urgent Care CurrentSince Feb 10, 2025 Accepting new patients
St. David's Carenow Urgent Care PLLC Family Medicine Past Accepting new patients
Fast Track Urgent Care - New Braunfels Urgent Care PastSince Sep 8, 2025 Accepting new patients
Anaheim Market Clinic Family Medicine PastSince Nov 1, 2019 Accepting new patients
Fast Track Urgent Care - Lemon Creek Urgent Care PastSince Feb 9, 2025 Accepting new patients

Locations

1670 Highway 71 E
Ste D
Bastrop, TX 78602
Phone (512) 309-7221

29252 Interstate 10 W
Ste 106
Boerne, TX 78006
Phone (210) 906-8478

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

2001 W State Highway 71
Ste B
La Grange, TX 78945
Phone (979) 206-2288

229 FM 306
Ste 103
New Braunfels, TX 78130
Phone (830) 743-9088

9230 Potranco Rd
Ste 108
San Antonio, TX 78251
Phone (210) 481-4125

14314 Potranco Rd
Ste 103
San Antonio, TX 78253
Phone (210) 906-8478

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

24531 W Interstate 10
Ste 109
San Antonio, TX 78257
Phone (210) 757-3279

12007 Alamo Ranch Pkwy
Ste 124
San Antonio, TX 78253
Phone (210) 405-0507

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1346884806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 SILVER HAMPTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542805",
            "telephone_number": "951-990-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167202",
            "telephone_number": "210-901-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUSTIN",
        "middle_name": "GUY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA57420",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "PA14175",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.