Active NPI
Rosaidalia Cardenas, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14458
- Practice address
- 610 N Main Avenue
San Antonio, TX 78205-7820 - Phone
- (210) 225-6508
- Fax
- (210) 225-1486
- NPI assigned
- May 18, 2021
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14458 | TX | |
| Physician Assistant | 363A00000X | PA14458 | TX | Primary |
Addresses
Primary practice location
610 N Main Avenue
San Antonio, TX 78205-7820
Mailing address
328 Terrell St
Seguin, TX 78155-4446
Other practice location 1
328 Terrell St
Seguin, TX 78155-4446
Phone (956) 783-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423878404 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2110 W Trenton Rd
Unit a
Edinburg, TX 78539-4674
Phone 8328694818235
2110 W Trenton Rd Unit B
Edinburg, TX 78539-4674
Phone 8328694818235
5441 Babcock Rd
Suite 102
San Antonio, TX 78240-3993
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varicose Vein Clinic - Northwest, P.a. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Harlingen, TX
- NPI 1639460207
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1154545986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1407420045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 TERRELL ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781554446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MAIN AVENUE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782057820",
"telephone_number": "210-225-6508",
"fax_number": "210-225-1486"
}
],
"practiceLocations": [
{
"address_1": "328 Terrell St",
"address_purpose": "LOCATION",
"city": "Seguin",
"state": "TX",
"postal_code": "781554446",
"country_code": "US",
"telephone_number": "956-783-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "ROSAIDALIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA14458",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423878404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.