Individual provider Active NPI

Roxana Jimenez Garcia, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1629217104
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06149 Issued in TX
Practice address
1511 Bandera Rd
San Antonio, TX 78228-4006
Phone
(210) 433-2334
NPI assigned
Feb 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06149 TX Primary

Addresses

Primary practice location

1511 Bandera Rd
San Antonio, TX 78228-4006

Mailing address

1511 Bandera Rd
San Antonio, TX 78228-4006
Phone (210) 433-2334

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
I20171018001010 TX Practitioner - Physician Assistant 4688940745 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06149TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Family Medicine LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

1511 Bandera Rd
San Antonio, TX 78228
Phone (210) 433-2334

2829 Babcock Rd
Ste 117
San Antonio, TX 78229
Phone (210) 460-9672

Interoperability endpoints

  • Direct secure messaging: roxana.garcia.1@32578.direct.athenahealth.com

Organizations & group practices 2

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1629217104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284006",
            "telephone_number": "210-433-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284006",
            "telephone_number": "210-433-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ GARCIA",
        "first_name": "ROXANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.