Individual provider Active NPI

Leon P Garcia, MD

  • Internal Medicine Physician
  • Waipahu, HI
National Provider Identifier
1164521167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME5233 Issued in HI
Practice address
94 307 Farrington Hwy
B 6
Waipahu, HI 96797
Phone
(808) 671-9433
Fax
(808) 677-5455
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME5233 HI Primary

Addresses

Primary practice location

94 307 Farrington Hwy
B 6
Waipahu, HI 96797

Mailing address

94 307 Farrington Hwy
B 6
Waipahu, HI 96797
Phone (808) 671-9433

Other identifiers 2

IdentifierTypeStateIssuer
A64988OtherHIBLUE CROSS BLUE SHIELD
05652801MedicaidHI

Other names 1

  • Leon P Garcia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20060104001022 HI Practitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 8527081512 Practice locations: Waipahu, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94-307 Farrington Hwy
Suite B6
Waipahu, HI 96797-2500
Phone (808) 671-9433

94-307 Farrington Hwy B6
Waipahu, HI 96797-2500

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME5233HIMDInternal Medicine Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164521167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 307 FARRINGTON HWY",
            "address_2": "B 6",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-671-9433",
            "fax_number": "808-677-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 307 FARRINGTON HWY",
            "address_2": "B 6",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-671-9433",
            "fax_number": "808-677-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LEON",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "ME5233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A64988",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEON",
            "last_name": "GARCIA",
            "middle_name": "P",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.