MRS. DARA DANIELLE TREVINO PA-C
NPI 1538533104
Physician Assistant - Medical in San Antonio, TX

Q: What is Dara Trevino's NPI number?

The NPI number for Dara Trevino is 1538533104. It was assigned to this individual provider in the NPPES registry on November 19, 2015. The provider is also known as Miss Dara Danielle Valdez.

Q: What is Dara Trevino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Dara Trevino was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 19, 2015PECOS Enrolled

20642 STONE OAK PKWY STE 105, SAN ANTONIO, TX 78258(210) 650-0814(210) 650-0926 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 3, 2024, Aug 20, 2021, Apr 10, 2019 and 1 more (4 updates tracked since 2015).

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About Mrs. Dara Danielle Trevino Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DARA DANIELLE TREVINO PA-C (NPI 1538533104) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA10112) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538533104

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. DARA DANIELLE TREVINOCredential: PA-C

Location Address20642 STONE OAK PKWY STE 105San Antonio, TX 78258-7363

Mailing Address20642 Stone Oak Pkwy Ste 105San Antonio, TX 78258-7363 · (210) 650-0814 · Fax (210) 650-0926

Phone(210) 650-0814

Fax(210) 650-0926

Sole ProprietorNo

Enumeration DateNovember 19, 2015

Last NPPES UpdateJune 3, 20244 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1538533104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA10112

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA10112 (TX)

20642 STONE OAK PKWY STE 105, San Antonio, TX 78258

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Other Names 1

Former Name (1)Miss Dara Danielle Valdez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dara Danielle Trevino Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA PYLES DOSWELL APRN

Nurse Practitioner (Family)