Active NPI
Daniella Guajardo Arellano, PA-C
- Medical Physician Assistant
- San Antonio, TX
National Provider Identifier
1689064602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA09446
- Practice address
- 1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287 - Phone
- (210) 496-5792
- Fax
- (210) 496-7601
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA09446 | TX | Primary |
Addresses
Primary practice location
1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Mailing address
1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13535 Hausman Pass
Suite 104
San Antonio, TX 78249-3581
Phone (210) 951-5530
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.45 of 100
- Quality
- 97.73
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09446 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil F Haddock MD PA | Past | Accepting new patients |
Interoperability endpoints
- daniella@sonterraderm.emadirect.md
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.
-
- Medical Specialty Clinic/Center
- San Antonio, TX
- NPI 1043876568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1689064602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 E SONTERRA BLVD STE 2201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584287",
"telephone_number": "210-496-5792",
"fax_number": "210-496-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E SONTERRA BLVD STE 2201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584287",
"telephone_number": "210-496-5792",
"fax_number": "210-496-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "DANIELLA",
"middle_name": "GUAJARDO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09446",
"primary": true
}
],
"identifiers": [],
"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 Jan 23, 2018; 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.