Active NPI
Juan Carlos Garza MD PA
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L6390
- Legal business name
- JUAN CARLOS GARZA MD PA
- Practice address
- 4318 Moonlight Way
San Antonio, TX 78230-5000 - Phone
- (210) 558-8878
- Fax
- (210) 558-9389
- NPI assigned
- Feb 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Carlos Garza, M.D.
- Title
- President
- Phone
- (210) 558-8878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L6390 | TX | Primary |
Addresses
Primary practice location
4318 Moonlight Way
San Antonio, TX 78230-5000
Mailing address
4318 Moonlight Way
San Antonio, TX 78230-5000
Phone (210) 558-8878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8D5032 | Other | TX | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1043063 | Juan Carlos Garza MD | Provider-performed microscopy | Jul 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
4318 Moonlight Way
San Antonio, TX 78230
Phone (210) 558-8878
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1669449971
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1205642030
-
- Physician Assistant
- San Antonio, TX
- NPI 1922202712
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1699487355
-
- Physician Assistant
- San Antonio, TX
- NPI 1295970937
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1386107464
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1427679943
-
- Physician Assistant
- San Antonio, TX
- NPI 1265945125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1639419153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 MOONLIGHT WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305000",
"telephone_number": "210-558-8878",
"fax_number": "210-558-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 MOONLIGHT WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305000",
"telephone_number": "210-558-8878",
"fax_number": "210-558-9389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN CARLOS GARZA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-558-8878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L6390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "8D5032",
"state": "TX"
}
],
"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 Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.