Individual provider Active NPI

Clarisa Ysela Garcia, M.D.

  • Pediatric Cardiology Physician
  • Houston, TX
National Provider Identifier
1093969180
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
N8652 Issued in TX
Practice address
11301 Fallbrook Dr
Suite 110
Houston, TX 77065-4237
Phone
(281) 661-8460
Fax
(832) 476-9426
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N8652 TX
Pediatric Cardiology Physician 2080P0202X N8652 TX Primary

Addresses

Primary practice location

11301 Fallbrook Dr
Suite 110
Houston, TX 77065-4237

Mailing address

14119 Julington LN
Cypress, TX 77429-6394
Phone (801) 824-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210003433 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 8123362670 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: cgarcia26847@directhoustonmethodist.org
  • Direct secure messaging: cgarcia70902@direct.childrens.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1093969180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 JULINGTON LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296394",
            "telephone_number": "801-824-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-661-8460",
            "fax_number": "832-476-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CLARISA",
        "middle_name": "YSELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8652",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "N8652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.