Individual provider Active NPI

Sabrina Abigail Guevara De Leon, PA

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1922872357
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17565 Issued in TX
Practice address
7211 Preston Rd Ste 1200
Plano, TX 75024-0238
Phone
(469) 303-3000
Fax
(469) 303-4510
NPI assigned
Nov 7, 2023
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17565 TX Primary
Surgical Physician Assistant 363AS0400X PA17565 TX

Addresses

Primary practice location

7211 Preston Rd Ste 1200
Plano, TX 75024-0238

Mailing address

7211 Preston Rd Ste 1200
Plano, TX 75024-0238
Phone (469) 303-3000

Other practice location 1

910 E Southlake Blvd
Southlake, TX 76092-6388
Phone (817) 421-5000

Other names 1

  • Sabrina Abigail Guevara Former name

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
I20240724004282 TX Practitioner - Physician Assistant 4385180439 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17565TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Orthopedic Surgery & Sports Medicine P.a. CurrentSince May 12, 2024 Accepting new patients
Las Colinas Orthopedic Surgery and Sports Medicine P.a. CurrentSince May 12, 2024 Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients

Locations

910 E Southlake Blvd
Ste 155
Southlake, TX 76092
Phone (817) 421-5000

Interoperability endpoints

  • Direct secure messaging: sabrina.guevara.1@15749.direct.athenahealth.com
  • Direct secure messaging: sguevara416097@direct.childrens.com

Organizations & group practices 4

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1922872357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240238",
            "telephone_number": "469-303-3000",
            "fax_number": "469-303-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240238",
            "telephone_number": "469-303-3000",
            "fax_number": "469-303-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926388",
            "country_code": "US",
            "telephone_number": "817-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "SABRINA",
        "middle_name": "ABIGAIL GUEVARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17565",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA17565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "GUEVARA",
            "middle_name": "ABIGAIL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.