San Gabriel Family Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N1984 Issued in TX

Legal business name

SAN GABRIEL FAMILY MEDICINE, PLLC

Practice address

921 W New Hope Dr
Suite 401
Cedar Park, TX 78613-6784

Phone

(512) 986-8858

Fax

(512) 986-8853

NPI assigned

Feb 8, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosie Augustin-Wheeler, M.D.NPI 1396777355

Title

Physician/Ceo

Phone

(512) 986-8858

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosie Augustin-Wheeler, M.D.

  • Family Medicine Physician
  • Leander, TX
  • NPI 1396777355
  Medicare reassignment NPD Authorized official
• Victoria Pham, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1104406073
  NPD
• Cassandra Lee Danek, FNP

  • Family Nurse Practitioner
  • Killeen, TX
  • NPI 1073085536
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1962708917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W NEW HOPE DR",
            "address_2": "SUITE 401",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136784",
            "telephone_number": "512-986-8858",
            "fax_number": "512-986-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W NEW HOPE DR",
            "address_2": "SUITE 401",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136784",
            "telephone_number": "512-986-8858",
            "fax_number": "512-986-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN-WHEELER",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "512-986-8858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N1984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396777355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Serbin PLLC
• Samantha Stokesberry, LLC (Momentum Counseling & Consulting)
• Samos Laboratory LLC
• Meera Patel Sampat, OD
• Supritha Sampath, LPC
• Maria San Martin
• Carina Sanders
• Kimberly Kay Sandoval, R.PH.
• Katie Moriah Sanford, PHARMD
• Aimee Caitlin Sanschagrin, MOTR/L

• Primary Care Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.