Michelle Sheree Fonseca, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

318 W Loop 1604 N
San Antonio, TX 78245-3194

Phone

(210) 523-2287

NPI assigned

Sep 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jagannath LLC

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1700038239
  Medicare reassignment
• New Age Medical & Wellness LLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1588485130
  NPD (past) Authorized official
• Sona LLC of Texas

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  NPD (past)

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1477922474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W LOOP 1604 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453194",
            "telephone_number": "210-647-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W LOOP 1604 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453194",
            "telephone_number": "210-523-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "MICHELLE",
        "middle_name": "SHEREE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10964",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA10964",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria D. Fondren, M.A., LPC, LSOTP
• Yordanis Rafael Fonseca Vega
• Carol Ann Fonseca, PH.D., LP
• Genevieve Ann Fonseca, DNP, APRN, FNP-C
• Krystal Fonseca, RN
• Nicole Fonseca
• Riamohiko Fonseca, REGISTERED NURSE
• Vincent Paul Fonseca, MD
• Maria Font de Orlando, BPHARM
• Andrea Anna Font Rytzner, DDS, MSD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.