Angelica G. Garcia Khorashadi, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25498 Issued in CA

Practice address

1106 Ovejas Ave
Davis, CA 95616-1908

Phone

(661) 599-3007

NPI assigned

Aug 31, 2006

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1144331604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 OVEJAS AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161908",
            "telephone_number": "661-599-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 OVEJAS AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161908",
            "telephone_number": "661-599-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19000 Homestead Rd",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950140712",
            "country_code": "US",
            "telephone_number": "661-599-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA KHORASHADI",
        "first_name": "ANGELICA",
        "middle_name": "G.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "20414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Alexis Gallegos
• Rebeca Gallo, RN
• Kayla Gamit
• Jia Gao
• Alys Garcia Cruz
• Cindy Marie Garcia-Noonis, LMFT
• Breanne Hayley Garcia
• Crystal Garcia, MFT-TRAINEE
• Dharshini Garcia, FNP
• Gissell Garcia

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.