Jennifer Pulido Menchaca, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA05422 Issued in TX

Practice address

3521 W Freddy Gonzalez Dr
Edinburg, TX 78539-8391

Phone

(956) 287-2100

Fax

(956) 287-2111

NPI assigned

Nov 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Jose a Escandon MD PA

  • General Practice Physician
  • Mission, TX
  • NPI 1942697974
  NPD (past)
• Martin Garza M.D. P.a.

  • Pediatrics Physician
  • Edinburg, TX
  • NPI 1225252976
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1689854077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398391",
            "telephone_number": "956-287-2100",
            "fax_number": "956-287-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398391",
            "telephone_number": "956-287-2100",
            "fax_number": "956-287-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "JENNIFER",
        "middle_name": "PULIDO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "PA05422",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Edinburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3521 W Freddy Gonzalez Dr",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785398391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oscar Melendez, PSY. D.
• Mairah Melgoza, PT
• Elizabeth Meline
• Melva Palacios, M.D., PA
• Memory Lane Healthcare Services, Inc.
• Laura Menchaca
• Cristian Alejandro Mendez
• Dalia Mendez, LMT
• Oscar Mendez, M.D.
• Rebecca Jean Mendez, LCSW

• Medical Physician Assistant in Edinburg, TX
• Providers in Edinburg, 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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.