Gustavo Rocha, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1150-P.A. Issued in PR

Practice address

22607 Carriage Bush
San Antonio, TX 78261-4420

Phone

(210) 421-1833

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1952069387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22607 CARRIAGE BUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782614420",
            "telephone_number": "210-421-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22607 CARRIAGE BUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782614420",
            "telephone_number": "210-421-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "GUSTAVO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9539",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1150-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tavo98@hotmail.com",
            "affiliation": "N",
            "address_1": "22607 Carriage Bush",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782614420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candace Rocha
• Damian B Rocha
• Franchezka Rae Rocha
• Guadalupe Rocha, RN
• Guillermo I Rocha, MD
• Jacqueline Danielle Rocha, DPT. PT
• Jason Paul Rocha, M.D.
• Jesse Rocha
• Justin-Casey Rocha, LAT ATC
• Laura Rocha, LVN

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.