Individual provider Active NPI

Katia G Garcia, PMHNP-BC, MSN, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1124169917
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95030258 Issued in CA
Practice address
200 S San Pedro St Ste 302
Los Angeles, CA 90012-5308
Phone
(323) 643-7980
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NP95030258 CA Primary

Addresses

Primary practice location

200 S San Pedro St Ste 302
Los Angeles, CA 90012-5308

Mailing address

777 S Alameda St FL 2
Los Angeles, CA 90021-1656
Phone (323) 643-7980

Other practice location 1

777 S Alameda St Fl 2
Los Angeles, CA 90021-1656
Phone (323) 643-7980

Other identifiers 1

IdentifierTypeStateIssuer
NP95030258OtherCACA LICENSE

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
I20250702003933 CA Practitioner - Nurse Practitioner 6103339080 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95030258CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citywide Mental Health, a Nursing Corporation Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince May 16, 2025 Accepting new patients
Portals House Inc Past Accepting new patients
Portals Mental Health Past Accepting new patients

Locations

777 S Alameda St
Fl 2
Los Angeles, CA 90021
Phone (213) 289-3578

200 S San Pedro St
Ste 302
Los Angeles, CA 90012
Phone (213) 680-0355

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124169917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S ALAMEDA ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211656",
            "telephone_number": "323-643-7980",
            "fax_number": "323-297-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125308",
            "telephone_number": "323-643-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S Alameda St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900211656",
            "country_code": "US",
            "telephone_number": "323-643-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KATIA",
        "middle_name": "G",
        "credential": "PMHNP-BC, MSN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95030258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "NP95030258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.