Yolanda Elena Gonzalez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12058 Issued in TX

Practice address

600 N Garza St
Rio Grande City, TX 78582-3538

Phone

(956) 487-0846

Fax

(956) 487-0855

NPI assigned

Aug 31, 2018

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 identifiers 1

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

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1912489303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARZA ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823538",
            "telephone_number": "956-487-0846",
            "fax_number": "956-487-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARZA ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823538",
            "telephone_number": "956-487-0846",
            "fax_number": "956-487-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YOLANDA",
        "middle_name": "ELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391401201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gonzalez, COTA
• Jessica R Gonzalez, SLP-CCC
• Kenia Elizabeth Gonzalez
• Mia Delagarza Gonzalez, PA -C
• Palmira Gonzalez, M.ED., LPC
• Anil Gottimukkala, RPH
• Grace PHC Service LLC
• Myrna Domansi Grajo, FNP
• Green Raven Inc (Ringgold Pharmacy)
• Nicholas Green

• Physician Assistant in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.