Gaona Medical Family Clinic Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

D4124 Issued in TX

Legal business name

GAONA MEDICAL FAMILY CLINIC INC

Practice address

1805 Castroville Rd
San Antonio, TX 78237-3659

Phone

(210) 433-6909

Fax

(210) 433-2745

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Aurora Rivas

Title

Business Adm

Phone

(210) 433-9111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1710030580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373659",
            "telephone_number": "210-433-6909",
            "fax_number": "210-433-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373659",
            "telephone_number": "210-433-6909",
            "fax_number": "210-433-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAONA MEDICAL FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "AURORA",
        "authorized_official_title_or_position": "BUSINESS ADM",
        "authorized_official_telephone_number": "210-433-9111"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "D4124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Moore Gant, FNP-C, PMHNP-BC
• Jennifer Gantt, RN
• Annette Jo Gantz, FNP-BC
• Tanja Ganues
• Gaona Family Medical Clinic, Inc
• Ana Gaona, SLP ASSISTANT
• Christian Emmanuel Gaona, ACAGNP
• Elizabeth Gaona
• Raul E Gaona Jr.
• Raul Efrain Gaona Sr., M.D.

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, 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 Aug 21, 2007; 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.