Active NPI
Ernesto Garcia, D.D.S.
- General Practice Dentistry
- Stockton, CA
National Provider Identifier
1053560946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29279
- Practice address
- 1701 North El Dorado Street
Stockton, CA 95204-5811 - Phone
- (209) 462-2452
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29279 | CA | Primary |
Addresses
Primary practice location
1701 North El Dorado Street
Stockton, CA 95204-5811
Mailing address
4125 - 26TH Street Apt. #6
San Francisco, CA 94131-1929
Phone (415) 641-0917
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 |
|---|---|---|---|
| 29279 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedman Clinic of Internal Medicine, LLP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIBADA
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 and National Provider Directory roles.
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- Alexandria, LA
- NPI 1831180637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1053560946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4125 - 26TH STREET APT. #6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941311929",
"telephone_number": "415-641-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NORTH EL DORADO STREET",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045811",
"telephone_number": "209-462-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ERNESTO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "29279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.