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JUAN CARLOS GARZA MD PA
NPI 1639419153
Family Medicine in San Antonio, TX

Active since February 20, 2013CLIA 45D1043063 · Microscopy
4318 MOONLIGHT WAY, SAN ANTONIO, TX 78230(210) 558-8878(210) 558-9389 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juan Carlos Garza Md Pa NPPES

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

JUAN CARLOS GARZA MD PA (NPI 1639419153) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since February 2013. The organization holds a CLIA Microscopy certificate valid through July 14, 2027 and lists Juan Carlos Garza, President, as its authorized official.

NPPES Registry Identity

NPI1639419153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJUAN CARLOS GARZA MD PA
Location Address4318 MOONLIGHT WAYSan Antonio, TX 78230-5000
Mailing Address4318 Moonlight WaySan Antonio, TX 78230-5000 · (210) 558-8878 · Fax (210) 558-9389
Phone(210) 558-8878
Fax(210) 558-9389
Organization SubpartNo
Authorized OfficialJuan Carlos GarzaPresident · (210) 558-8878
Enumeration DateFebruary 20, 2013
✔ NPI 1639419153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L6390
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4318 MOONLIGHT WAY, San Antonio, TX 78230
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Other Identifiers 1

Other8D5032TX · Medicare Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Carlos Garza Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Juan Carlos Garza MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gol Heidari, FNP
Nurse Practitioner
NPI 1699487355
4318 MOONLIGHT WAY
San Antonio, TX 78230
(210) 558-8878
✔ PECOS✔ Accepts MedicareSame address
Mariel Lozano, MD
Family Practice
NPI 1386107464
4318 MOONLIGHT WAY
San Antonio, TX 78230
(210) 558-8878
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1043063

Juan Carlos Garza MD · San Antonio, TX
Active · expires Jul 14, 2027
CLIA Number45D1043063
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorJuan C. Garza
Laboratory Phone(210) 558-8878
Laboratory LocationJuan Carlos Garza MD4318 Moonlight Way, San Antonio, TX 78230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Carlos Garza MD PA's NPI number?

The NPI number for Juan Carlos Garza MD PA is 1639419153. It was assigned to this organization in the NPPES registry on February 20, 2013.

Where is Juan Carlos Garza MD PA located?

Juan Carlos Garza MD PA is located at 4318 Moonlight Way, San Antonio, TX 78230. The listed phone number is (210) 558-8878.

What is Juan Carlos Garza MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juan Carlos Garza MD PA enrolled in Medicare?

Yes. Juan Carlos Garza MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Juan Carlos Garza MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Juan Carlos Garza MD PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Juan Carlos Garza MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1043063) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Juan Carlos Garza MD PA was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.