Individual provider Active NPI

Raquel Angelina Garcia, FNP

  • Nurse Practitioner
  • Merced, CA
National Provider Identifier
1164033965
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014335 Issued in CA
Practice address
3389 G St Ste B
Merced, CA 95340-0982
Phone
(209) 384-9400
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014335 CA Primary

Addresses

Primary practice location

3389 G St Ste B
Merced, CA 95340-0982

Mailing address

1801 Colorado Ave Ste 220
Turlock, CA 95382-2704
Phone (209) 216-3420

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
I20210701000776 CA Practitioner - Nurse Practitioner 7416358148 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014335CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Jul 19, 2021 Accepting new patients
Sunit R Patel MD a Professional Corporation CurrentSince May 1, 2021 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Jul 19, 2021 Accepting new patients

Locations

7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1120 W I St
Ste D
Los Banos, CA 93635

3389 G St
Ste B
Merced, CA 95340
Phone (209) 384-9400

1801 Colorado Ave
Ste 220
Turlock, CA 95382
Phone (209) 216-3420

12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBAFCA/Endpoint/IBAFCA
  • Direct secure messaging: raquel.garciafnpbc.p3@direct.livingstoncommunity.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1164033965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE STE 220",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822704",
            "telephone_number": "209-216-3420",
            "fax_number": "209-216-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 G ST STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400982",
            "telephone_number": "209-384-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RAQUEL",
        "middle_name": "ANGELINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.