Alberto Santiago Guajardo, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12769 Issued in TX

Practice address

1214 Dixieland Rd Ste 8
Harlingen, TX 78552-3314

Phone

(956) 423-7000

NPI assigned

May 6, 2019

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C.L. Anderson, Jr., M.D., PLLCGroup PAC ID 9830142157, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: valleydayandnightclinic.albertoguajardo@160636.advancedmd-direct.com

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.

• C.L. Anderson, Jr., M.D., PLLC

  • Family Medicine Physician
  • Brownsville, TX
  • NPI 1396967659
  Medicare reassignment Care Compare group
• Isaac Ornelas

  • Physical Therapist
  • Brownsville, TX
  • NPI 1669855870

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1699330654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215193",
            "telephone_number": "956-982-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 DIXIELAND RD STE 8",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523314",
            "telephone_number": "956-423-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "ALBERTO",
        "middle_name": "SANTIAGO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "PA12769",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan P Griffin
• Nicole M Grigg Gutierrez, MD
• Jessica Erin Grogan, PH.D.
• Gse Health Care Inc.
• Guadalupe Health Center
• Briana Michelle Guajardo, MOT, OTL
• Diana Guajardo, SLPA
• Jaime Lorenzo Guajardo
• Janett Hernandez Guajardo, LVN
• Melissa Joy Guajardo, LVN

• Medical Physician Assistant in Harlingen, TX
• Providers in Harlingen, 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 Feb 2, 2021; 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.