Individual provider Active NPI

Sandra Garcia

  • Family Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1013634013
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022278 Issued in CA
Practice address
14642 Newport Ave Ste 101
Tustin, CA 92780-6058
Phone
(714) 352-5800
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022278 CA Primary

Addresses

Primary practice location

14642 Newport Ave Ste 101
Tustin, CA 92780-6058

Mailing address

14642 Newport Ave Ste 101
Tustin, CA 92780-6058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329001690 CA Practitioner - Nurse Practitioner 1557735768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health CenterGroup PAC ID 7810394756, 29 clinicians

Practice addresses (Care Compare)

520 N Main St
Suite 120
Santa Ana, CA 92701-4623
Phone (714) 352-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Center CurrentSince Oct 22, 2023 Accepting new patients
New Foundation Medical Inc. CurrentSince Feb 1, 2023 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Access Community Health Center Past Accepting new patients

Locations

24953 Paseo de Valencia
Ste 7C
Laguna Hills, CA 92653
Phone (714) 352-5800

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

520 N Main St
Ste 120
Santa Ana, CA 92701
Phone (714) 352-5800

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

14642 Newport Ave
Ste 101
Tustin, CA 92780
Phone (714) 352-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHAED/Endpoint/BGHAED

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1013634013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806058",
            "telephone_number": "714-352-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.