Individual provider Active NPI

Johanna Alexandra Gonzalez Morin, PA-C

  • Medical Physician Assistant
  • Edinburg, TX
National Provider Identifier
1760768584
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08271 Issued in TX
Practice address
2821 Michaelangelo Dr
Edinburg, TX 78539-1404
Phone
(956) 632-3030
NPI assigned
Oct 25, 2011
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 PA08271 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr
Edinburg, TX 78539-1404

Mailing address

3006 Las Colinas LN
Mission, TX 78574-1927
Phone (954) 478-8971

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
I20130625000091 TX Practitioner - Physician Assistant 9032358049 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince May 1, 2025 Accepting new patients
Children's Physician Services of South Texas CurrentSince May 1, 2025 Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

2821 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 362-3590

Organizations & group practices 2

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1760768584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 LAS COLINAS LN",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741927",
            "telephone_number": "954-478-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391404",
            "telephone_number": "956-632-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MORIN",
        "first_name": "JOHANNA",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.