Individual provider Active NPI

Antonia Garcia-Cavazos, PHYSICIAN ASSISTANT

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1619968088
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02022 Issued in TX
Practice address
1200 E Savannah Ave Ste 20
McAllen, TX 78503-1728
Phone
(956) 618-5209
Fax
(956) 618-5210
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 PA02022 TX Primary

Addresses

Primary practice location

1200 E Savannah Ave Ste 20
McAllen, TX 78503-1728

Mailing address

PO Box 4449
McAllen, TX 78502-4449
Phone (956) 618-5209

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
PA02022TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Joel Garza, MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1619968088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024449",
            "telephone_number": "956-618-5209",
            "fax_number": "956-618-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE STE 20",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031728",
            "telephone_number": "956-618-5209",
            "fax_number": "956-618-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-CAVAZOS",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.