Individual provider Active NPI

Rosaidalia Cardenas, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1407420045
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14458 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
423878404MedicaidTX

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
I20210527000770 TX Practitioner - Physician Assistant 1355740127 Reassigns benefits to 3 organizations

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
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.