Individual provider Active NPI

Enid Garcia, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1043923469
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024937 Issued in CA
Practice address
1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone
(909) 880-3677
NPI assigned
Dec 30, 2022
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024937 CA Primary
General Practice Registered Nurse 163WG0000X 746196 CA

Addresses

Primary practice location

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355

Mailing address

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone (909) 880-3677

Other names 1

  • Mrs. Enid B Morales Former name

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
I20240425002243 CA Practitioner - Nurse Practitioner 4183064009 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
746196CAMDGeneral Practice Registered Nurse
95024937CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Franco MD, Inc CurrentSince Apr 14, 2024 Accepting new patients

Locations

1800 Western Ave
Ste 401
Sn Bernrdno, CA 92411
Phone (909) 528-3641

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1043923469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024937",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "746196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENID",
            "last_name": "MORALES",
            "middle_name": "B",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.