Individual provider Active NPI

Callie Goff, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1508508284
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15701 Issued in TX
Practice address
540 Oak Centre Dr Ste 101
San Antonio, TX 78258-3936
Phone
(210) 757-3172
NPI assigned
Apr 12, 2022
Last updated
Oct 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA15701 TX Primary

Addresses

Primary practice location

540 Oak Centre Dr Ste 101
San Antonio, TX 78258-3936

Mailing address

540 Oak Centre Dr Ste 101
San Antonio, TX 78258-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15701TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Porter, MD PA Multi-Specialty CurrentSince May 16, 2022 Accepting new patients

Locations

10423 State Highway 151
Ste 101
San Antonio, TX 78251
Phone 21034196149

2829 Babcock Rd
Ste 117
San Antonio, TX 78229
Phone (210) 460-9672

5825 Callaghan Rd
Ste 203
San Antonio, TX 78228

Organizations & group practices 1

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1508508284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583936",
            "telephone_number": "210-757-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "CALLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15701",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.