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MORENO MEDICAL CLINIC WEST
NPI 1770002107
Physician Assistant in San Antonio, TX

Active since September 18, 2017
426 CASTROVILLE RD STE 4, SAN ANTONIO, TX 78207(210) 994-6181 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Sep 18, 2017 (3 updates tracked since 2017).

About Moreno Medical Clinic West NPPES

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

MORENO MEDICAL CLINIC WEST (NPI 1770002107) is a healthcare organization registered as a physician assistant in San Antonio, Texas and active in the NPI registry since September 2017. The organization lists Roland F Mena, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1770002107
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMORENO MEDICAL CLINIC WEST
Location Address426 CASTROVILLE RD STE 4San Antonio, TX 78207-5169
Mailing Address426 Castroville Rd Ste 4San Antonio, TX 78207-5169 · (210) 994-6181
Phone(210) 994-6181
Organization SubpartNo
Authorized OfficialRoland F MenaPhysician Assistant · (210) 994-6181
Enumeration DateSeptember 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1770002107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00125
Definition
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.
426 CASTROVILLE RD STE 4, San Antonio, TX 78207
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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

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 Moreno Medical Clinic West's NPI number?

The NPI number for Moreno Medical Clinic West is 1770002107. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Moreno Medical Clinic West located?

Moreno Medical Clinic West is located at 426 Castroville Rd Ste 4, San Antonio, TX 78207. The listed phone number is (210) 994-6181.

What is Moreno Medical Clinic West's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Moreno Medical Clinic West was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.