Dara Danielle Trevino, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10112 Issued in TX

Practice address

20642 Stone Oak Pkwy Ste 105
San Antonio, TX 78258-7363

Phone

(210) 650-0814

Fax

(210) 650-0926

NPI assigned

Nov 19, 2015

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Dara Danielle Valdez Former name

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

Locations

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.

• Barrio Comprehensive Family Health Care Center, Inc.

  dba CommuniCare Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1902883739
  Medicare reassignment
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Marcos, TX
  • NPI 1295601052
  NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  dba CommuniCare Health Centers

  • Federally Qualified Health Center (FQHC)
  • Wimberley, TX
  • NPI 1750701454
  NPD
• Best Care Pediatrics

  • Pediatrics Physician
  • Beaumont, TX
  • NPI 1134175425
  NPD (past)
• Focus and Balance, PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1073757100
  NPD (past)
• Pak Medical Group, PLLC

  dba Pak Medical Group

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1992297816
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1538533104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20642 STONE OAK PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587363",
            "telephone_number": "210-650-0814",
            "fax_number": "210-650-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20642 STONE OAK PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587363",
            "telephone_number": "210-650-0814",
            "fax_number": "210-650-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "DARA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10112",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARA",
            "last_name": "VALDEZ",
            "middle_name": "DANIELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia P Trevino
• Corinna Marie Trevino, DNP, APRN,PMHNP-BC
• Cynthia Fletcher Trevino, O.D.
• Dana Trevino, OTR
• Daniel G Trevino, M.D.
• Delilah Trevino
• Denise Glunz Trevino
• Diana P Trevino, LMSW
• Diane Trevino, DPM
• Diego Oren Trevino

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.