Gol L Heidari, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1100506 Issued in TX

Practice address

4318 Moonlight Way
San Antonio, TX 78230-5000

Phone

(210) 558-8878

Fax

(210) 558-9389

NPI assigned

Dec 14, 2022

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

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Juan Carlos Garza MD PAGroup PAC ID 5991932162, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Juan Carlos Garza MD PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1639419153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1699487355",
    "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": {
        "last_name": "HEIDARI",
        "first_name": "GOL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1100506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shachi Hegde-Patel, PA-C
• Stephen Turner Heggie, DMD
• Kristen Michelle Hehr, PHARM.D.
• Tracy Gayle Hehs
• Jessica Heibel, MD
• Jennifer Renee Heifner, MA, LPC
• Heightened Achievements PLLC
• Hannah Elizabeth Heiligman, PA-C
• Josefine Heim-Hall, MD
• Mark Heimer, P.T.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.