Black-Pearl Medical LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BLACK-PEARL MEDICAL LLC

Practice address

12407 Walthampton St
San Antonio, TX 78216-2944

Phone

(316) 992-0034

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Juliet Makena Gatobu, APRNNPI 1245711050

Title

Owner

Phone

(254) 307-8218

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Juliet Makena Gatobu, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1245711050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1629963780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 BLANCO RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163069",
            "telephone_number": "254-307-8218",
            "fax_number": "888-830-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12407 WALTHAMPTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162944",
            "telephone_number": "316-992-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK-PEARL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "GATOBU",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "MAKENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-307-8218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629963780",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Bjerk, ACNP-BC
• BK Med Trans LLC
• Black Diamond Med Spa
• Black Dog Home Care, LLC (Right at Home San Antonio)
• Black Nurses Rock San Antonio Chapter
• Christa M Black, PA-C
• Deborah Maye Black
• Joseph Black
• Katelynn Nicole Black, RBT
• Lara Kristine Black, OT

• Point of Service in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.