Individual provider Active NPI

Jazlene Garcia

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1922459858
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
577227 Issued in TX
Practice address
613 Elizabeth St
Ste 804
Corpus Christi, TX 78404-2220
Phone
(361) 881-3351
Fax
(361) 861-9022
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 577227 TX Primary

Addresses

Primary practice location

613 Elizabeth St
Ste 804
Corpus Christi, TX 78404-2220

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 1

IdentifierTypeStateIssuer
366195101MedicaidTX

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
I20161116000295 TX Practitioner - Physician Assistant 6406135433 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
577227TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network Physician Assistant CurrentSince Nov 14, 2016 Accepting new patients
C H Wilkinson Physician Network CurrentSince Nov 14, 2016 Accepting new patients
Singleton Associates PA Physician Assistant CurrentSince Jun 17, 2022 Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

613 Elizabeth St
Ste 804
Corpus Christi, TX 78404
Phone (361) 881-3351

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1922459858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "STE 804",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-881-3351",
            "fax_number": "361-861-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JAZLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "577227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366195101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.