Tessa Jene Cervantes, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

Q5773 Issued in TX

Practice address

3603 Paesanos Pkwy Ste 100
San Antonio, TX 78231-1268

Phone

(210) 504-9668

Fax

(210) 892-3872

NPI assigned

May 15, 2012

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at San Antonio, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Liv Medical Partners PLLCGroup PAC ID 5496119513, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tessa@sonterraderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liv Medical Partners PLLC

  dba LIV Dermatology and Aesthetics

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1639863533
  Medicare reassignment Care Compare group NPD
• Sandeep G. Mistry, MD, PA

  • Urology Physician
  • Round Rock, TX
  • NPI 1760674253
  NPD
• Neil F Haddock MD PA

  dba Sonterra Dermatology PLLC

  • Specialist
  • San Antonio, TX
  • NPI 1215229992
  NPD (past)
• Southwest Skin & Cancer Clinic, P.a.

  • Dermatology Physician
  • Austin, TX
  • NPI 1619942182
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1669731410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-504-9668",
            "fax_number": "210-504-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-504-9668",
            "fax_number": "210-892-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "TESSA",
        "middle_name": "JENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla E Cervantes
• Rafael Cervantes Jr.
• Raven Cervantes
• Salvineo Cervantes, M.S., ATC/LAT
• Stephen L. Cervantes, LPC, LMFT
• Vanessa Cervantes, CPHT
• Yajaira Cervantes, FNP
• Faith Christina Cervantez, LVN
• Sherri Rauenzahn Cervantez, M.D.
• Marissa Garcia Cervera

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
• 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.

Verify at the official NPI Registry.