Individual provider Active NPI

Kristen Garcia, MD PH.D

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1164858452
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10969034 Issued in CA
Practice address
1919 North Loop W
Suite 218
Houston, TX 77008-1374
Phone
(713) 862-5797
Fax
(713) 862-0166
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10969034 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 10969034 CA Primary

Addresses

Primary practice location

1919 North Loop W
Suite 218
Houston, TX 77008-1374

Mailing address

1919 North Loop W
Suite 218
Houston, TX 77008-1374
Phone (713) 862-5797

Other names 1

  • Dongwook Kristen Professional name

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
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10969034CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tran& Thomas, PLLC Family Medicine PastSince Oct 1, 2003 Accepting new patients
Ronnie L Adams MD PA Past Accepting new patients

Organizations & group practices 2

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1164858452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-862-5797",
            "fax_number": "713-862-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-862-5797",
            "fax_number": "713-862-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KRISTEN",
        "credential": "MD PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "10969034",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "10969034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONGWOOK",
            "last_name": "KRISTEN",
            "credential": "MD PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.