Active NPI
Patricia Mae Garcia, RDN
- Registered Dietitian
- Chula Vista, CA
National Provider Identifier
1073052882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86020535
- Practice address
- 630 Bay Blvd
101
Chula Vista, CA 91910-5262 - Phone
- (619) 420-6725
- Fax
- (619) 420-6736
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86020535 | CA | Primary |
Addresses
Primary practice location
630 Bay Blvd
101
Chula Vista, CA 91910-5262
Mailing address
815 Regulo PL Apt 1621
Chula Vista, CA 91910-7764
Phone (619) 623-3692
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 |
|---|---|---|---|
| 86020535 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1073052882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 REGULO PL APT 1621",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107764",
"telephone_number": "619-623-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 BAY BLVD",
"address_2": "101",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105262",
"telephone_number": "619-420-6725",
"fax_number": "619-420-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PATRICIA MAE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86020535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.