Individual provider Active NPI

Jaime Hernando Davila, P.A.-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1720178924
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07648 Issued in TX
Practice address
720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone
(210) 921-3800
Fax
(210) 334-2851
NPI assigned
Oct 16, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07648 TX Primary

Addresses

Primary practice location

720 Pleasanton Rd
San Antonio, TX 78214-1306

Mailing address

720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone (210) 921-3800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131029000349 TX Practitioner - Physician Assistant 2264667245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians
South Texas Ancillary Services LTDGroup PAC ID 1456677087, 28 clinicians

Practice addresses (Care Compare)

115 Angeles Dr
Suite 103
San Antonio, TX 78201-4302
Phone (210) 664-0962

12840 W Interstate 10
Suite 101
San Antonio, TX 78249-2361
Phone (210) 817-8490

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

13909 Nacogdoches Rd
Suite 111
San Antonio, TX 78217-1296
Phone (210) 655-0100

1499 Hillcrest Dr
San Antonio, TX 78228-3900
Phone (210) 921-6600

17122 Bulverde Rd
Suite 104
San Antonio, TX 78247-3211
Phone (210) 783-0170

20210 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-7029
Phone (210) 481-9804

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

4130 S New Braunfels Ave
Suite 112
San Antonio, TX 78223-1722
Phone (210) 290-9537

513 Cibolo Valley Dr
Suite 101
Cibolo, TX 78108-3676
Phone (210) 714-5600

5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677

711 Pleasanton Rd
San Antonio, TX 78214-1305
Phone (210) 921-6600

720 Pleasanton Rd
San Antonio, TX 78214-1306

7219 Culebra Rd
San Antonio, TX 78251-1305
Phone (210) 509-2603

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

9234 N Loop 1604
Suite 110
San Antonio, TX 78249-2981
Phone (210) 257-0736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2023 Accepting new patients
Southwest General Emergency Physicians, PLLC Physician Assistant CurrentSince Jun 17, 2017 Accepting new patients

Locations

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1720178924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141306",
            "telephone_number": "210-921-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141306",
            "telephone_number": "210-921-3800",
            "fax_number": "210-334-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JAIME",
        "middle_name": "HERNANDO",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.