Individual provider Active NPI

Karina Lynn Trevino, PA

  • Medical Physician Assistant
  • Mission, TX
National Provider Identifier
1760718811
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06303 Issued in TX
Practice address
909 Business Park Dr Ste 6
Mission, TX 78572-6054
Phone
(956) 519-0770
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06303 TX Primary

Addresses

Primary practice location

909 Business Park Dr Ste 6
Mission, TX 78572-6054

Mailing address

909 Business Park Dr Ste 6
Mission, TX 78572-6054
Phone (956) 519-0770

Other identifiers 1

IdentifierTypeStateIssuer
A06303OtherTXTEXAS MEDICAL LICENSE

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
I20091207000322 TX Practitioner - Physician Assistant 5991844888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

307 N D Salinas Ave
Donna, TX 78537-2929

307 N D Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06303TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harold J. Pean MD CurrentSince Apr 21, 2024 Accepting new patients
Jose a Escandon MD PA PastSince Mar 9, 2015 Accepting new patients

Locations

909 Business Park Dr
Ste 6
Mission, TX 78572
Phone (956) 240-4402

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1760718811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BUSINESS PARK DR STE 6",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726054",
            "telephone_number": "956-519-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BUSINESS PARK DR STE 6",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726054",
            "telephone_number": "956-519-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "KARINA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "A06303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.