Active NPI
Nazareth Garcia
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
National Provider Identifier
1013347475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C3401214
- Practice address
- 916 N Mountain Ave
Upland, CA 91786-3697 - Phone
- (909) 932-1069
- Fax
- (909) 932-1087
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C3401214 | CA | Primary |
Addresses
Primary practice location
916 N Mountain Ave
Upland, CA 91786-3697
Mailing address
916 N Mountain Ave
Upland, CA 91786-3697
Phone (909) 932-1069
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
| License | State | Type | Specialty |
|---|---|---|---|
| C3401214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1013347475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863697",
"telephone_number": "909-932-1069",
"fax_number": "909-932-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863697",
"telephone_number": "909-932-1069",
"fax_number": "909-932-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "NAZARETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C3401214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.