Jesse Trevino, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00316 Issued in TX

Practice address

601 Clara Barton Blvd Ste 100
Garland, TX 75042-5755

Phone

(972) 276-1779

Fax

(972) 276-5560

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment NPD
• Walk-in & Urgent Care PA

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1912277260
  Medicare reassignment
• Community Urgent Care, LLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1326433376
  NPD
• Centro de Pediatria Hispana, PA

  • Pediatrics Physician
  • Garland, TX
  • NPI 1265989941
  NPD (past)
• Texans Health & Wellness Center PLLC

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1457993297
  NPD (past)
• Topcare Medical Group Inc

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)
• Topcare Medical PA

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD (past)
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1639340144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trans Oakley, LLC
• Eddie Traughber, LMFT-S
• Leanne Travis
• Treat Dental, PLLC
• Gregory Jermaine Trent
• Triad Pediatric Home Health, LLC
• Trident Dental Inc
• Wendy Trinh
• Trinity Angels Healthcare Services, Inc
• Trinity Chiropractic, PC

• Medical Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.