Organization Active NPI

Good Health Clinic, PLLC

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1609425115
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
GOOD HEALTH CLINIC, PLLC
Practice address
505 Pleasanton Rd
San Antonio, TX 78214-1335
Phone
(210) 932-2565
Fax
(210) 932-2566
NPI assigned
Sep 6, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Sylvia B Trevino, PA-CNPI 1710038625
Title
Physician Assistant/ Manager
Phone
(210) 422-2336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

505 Pleasanton Rd
San Antonio, TX 78214-1335

Mailing address

505 Pleasanton Rd
San Antonio, TX 78214-1335
Phone (210) 422-2336

National Provider Directory

National Provider Directory

Locations

505 Pleasanton Rd
San Antonio, TX 78214
Phone (210) 422-2336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1609425115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141335",
            "telephone_number": "210-422-2336",
            "fax_number": "210-932-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141335",
            "telephone_number": "210-932-2565",
            "fax_number": "210-932-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/ MANAGER",
        "authorized_official_telephone_number": "210-422-2336",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "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 Nov 1, 2019; 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.