Individual provider Active NPI

Luis Fernando Trevino, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1538301601
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07584 Issued in TX
Practice address
9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253
Phone
(210) 692-0101
Fax
(210) 692-7615
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07584 TX Primary

Addresses

Primary practice location

9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253

Mailing address

9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253
Phone (210) 692-0101

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
I20121102000461 TX Practitioner - Physician Assistant 3779734587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Binz St
Houston, TX 77004-6997

1505 Hwy 6 S
Suite 220
Houston, TX 77077-1700

720 Pleasanton Rd
San Antonio, TX 78214-1306

8522 Broadway
Suite 216
San Antonio, TX 78217-6456

PO Box
Suite 12976
San Antonio, TX 78212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 8, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 8, 2023 Accepting new patients

Locations

1902 Morgan Ave
Corpus Christi, TX 78404
Phone (361) 887-6699

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

66 Gruene Park Dr
Ste 210
New Braunfels, TX 78130
Phone (830) 730-4375

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

8522 Broadway
Ste 216
San Antonio, TX 78217

5939 Babcock Rd
Ste 112
San Antonio, TX 78240
Phone 2108745260 ext. 45260

21038 US Highway 281 N
Ste 100
San Antonio, TX 78258

88 Briggs St
Ste 250
San Antonio, TX 78224
Phone (210) 923-9333

2020 Babcock Rd
Ste 24
San Antonio, TX 78229
Phone (210) 692-0136

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1538301601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.