Individual provider Active NPI

Carlos Alberto Natera Garcia, SA-C

  • Surgical Physician Assistant
  • Mokena, IL
National Provider Identifier
1134937154
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
238.000853 Issued in IL
Practice address
18761 Chestnut CT
Mokena, IL 60448-9501
Phone
(847) 477-0308
NPI assigned
Dec 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 238.000853 IL Primary

Addresses

Primary practice location

18761 Chestnut CT
Mokena, IL 60448-9501

Mailing address

3065 N Clybourn Ave Apt 2F
Chicago, IL 60618-8007
Phone (847) 477-0308

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

LicenseStateTypeSpecialty
238.000853ILMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1134937154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 N CLYBOURN AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188007",
            "telephone_number": "847-477-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18761 CHESTNUT CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489501",
            "telephone_number": "847-477-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATERA GARCIA",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.