Christina Granado Gonzales, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05660 Issued in TX

Practice address

2703 82ND St
Lubbock, TX 79423-1429

Phone

(806) 761-0428

Fax

(806) 712-0168

NPI assigned

Feb 22, 2008

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 names 1

• Miss Christina Danielle Granado Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1548999451
  Medicare reassignment
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1033972716

  Physician Assistant

  NPD
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Del Rio, TX
  • NPI 1447200696
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1700055829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-722-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231429",
            "telephone_number": "806-761-0428",
            "fax_number": "806-712-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CHRISTINA",
        "middle_name": "GRANADO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GRANADO",
            "middle_name": "DANIELLE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Ann Gomez
• Seferino Gomez, MD
• Mariana Goncalves Damasceno Moreira, MD
• Antonio Gonzales, M.D.
• Arnulfo Gomez Gonzales, MD
• Connie Lynn Gonzales, MSN, RN, CCRN-K
• Eva Linda Gonzales
• Frank Raymond Gonzales Jr., FNP
• Jaden Alexis Gonzales, BSN, RN, CCRN
• Joshua Gonzales, PTA

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.