Individual provider Active NPI

Ponciano Garcia, CPT-1

  • Phlebotomy Technician
  • Los Angeles, CA
National Provider Identifier
1003746702
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
CPT-00065409 Issued in CA
Practice address
835 Wilshire Blvd Ste 500
Los Angeles, CA 90017-2656
Phone
(213) 646-6035
NPI assigned
May 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X CPT-00065409 CA Primary

Addresses

Primary practice location

835 Wilshire Blvd Ste 500
Los Angeles, CA 90017-2656

Mailing address

835 Wilshire Blvd Ste 500
Los Angeles, CA 90017-2656
Phone (213) 646-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPT-00065409CAMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1003746702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172656",
            "telephone_number": "213-646-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172656",
            "telephone_number": "213-646-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PONCIANO",
        "name_prefix": "Mr.",
        "credential": "CPT-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT-00065409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.