GOOD HEALTH CLINIC, PLLC
NPI 1609425115
Physician Assistant in San Antonio, TX

NPI Status: Active since September 06, 2019

Contact Information

505 PLEASANTON RD
SAN ANTONIO, TX
ZIP 78214
Phone: (210) 932-2565
Fax: (210) 932-2566

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  • Organization
  • Physician Assistant
  • CLIA Number: 45D2180063
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-04-2026

About GOOD HEALTH CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Good Health Clinic, Pllc, a primary care provider established in San Antonio, Texas operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1609425115 assigned on September 2019. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sylvia B Trevino Pa-c (Physician Assistant/ Manager)

NPI
1609425115
Provider Name
GOOD HEALTH CLINIC, PLLC
Entity Type
Organization
Location Address
505 PLEASANTON RD SAN ANTONIO, TX 78214
Location Phone
(210) 932-2565
Location Fax
(210) 932-2566
Mailing Address
505 PLEASANTON RD SAN ANTONIO, TX 78214
Mailing Phone
(210) 422-2336
Mailing Fax
(210) 932-2566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2019
Last Update Date
11-01-2019
Code Navigator

A primary care provider (PCP) like Good Health Clinic, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SYLVIA B TREVINO PA-C

Authorized Official Title
PHYSICIAN ASSISTANT/ MANAGER
Authorized Official Phone
(210) 422-2336

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1710038625MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2180063
Facility Type
Physician Office
Certificate Effective Date
March 05, 2024
Certificate Expiration Date
March 04, 2026
Laboratory Director
SYLVIA TREVINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Health Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GOOD HEALTH CLINIC, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609425115
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609821012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 8 + 2 + 1 + 0 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1609425115 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598156630MY MEDICAL NETWORK HOSPICE, LLC
Organization
Hospice Care, Community Based505 PLEASANTON RD
SAN ANTONIO, TX 78214
(210) 422-2336
1033500194MY MEDICAL NETWORK HOME HEALTH, LLC
Organization
Home Health505 PLEASANTON RD
SAN ANTONIO, TX 78214
(210) 422-2336
1003981242 LUCINA B TREVINO MD
Individual
Family Medicine505 PLEASANTON RD
SAN ANTONIO, TX 78214
(210) 932-2565
1154752475MMNSA, LCC
Organization
Hospice Care, Community Based505 PLEASANTON RD
SAN ANTONIO, TX 78214
(210) 932-2565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609425115, enumerated in the NPI registry as an "organization" on September 06, 2019

The provider is located at 505 Pleasanton Rd San Antonio, Tx 78214 and the phone number is (210) 932-2565

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2180063 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 06, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.