Individual provider Active NPI

Gabriel Garcia, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1093976706
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13286 Issued in NV
Practice address
129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055
Phone
(702) 564-4440
Fax
(702) 558-1522
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13286 NV Primary
Anesthesiology Physician 207L00000X MT189571 PA

Addresses

Primary practice location

129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055

Mailing address

129 W Lake Mead Pkwy
#B-18
Henderson, NV 89015-7055
Phone (702) 564-4440

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110411000673 NJ Practitioner - Anesthesiology 0345389870 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189571PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Perioperative Services LLC Anesthesiology CurrentSince Dec 16, 2023 Accepting new patients
Ra Pain Services PA CurrentSince Jan 10, 2011 Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients

Locations

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1133 E Chestnut Ave
Vineland, NJ 08360
Phone (609) 507-0800

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Organizations & group practices 3

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1093976706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "#B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "#B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "13286",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT189571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.