Jessica Marie Longoria, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05888 Issued in TX

Practice address

555 S International Blvd Ste B-100
Weslaco, TX 78596-9116

Phone

(956) 477-1515

NPI assigned

Feb 1, 2010

Last updated

Sep 6, 2023By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Frontier Direct Care Weslaco

  • Family Medicine Physician
  • Weslaco, TX
  • NPI 1194591198
  NPD
• Maria Christina Madrid MD PA

  dba Madrid Family Medical Center

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1912035783
  NPD (past)

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548592579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E HWY 77",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865232",
            "telephone_number": "956-361-4558",
            "fax_number": "956-361-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S INTERNATIONAL BLVD STE B-100",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785969116",
            "telephone_number": "956-477-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548592579",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341036702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Segundo Luis Lizardo-Guzman, MD
• LJ Pharmacy Relief, Inc
• Charisse Castellano Lloren, M.D.
• Matt L Loewen, DO
• Lonestar Therapy, LLC
• Leonardo Longoria, M.S., CCC-SLP
• Oly Longoria, M.S., CCC-SLP
• Annabelle Lopez, MD
• Antonio Lopez IV, RPH
• Bianca Lyssa Lopez, M.S.

• Physician Assistant in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.