Individual provider Active NPI

Paola Lizett Garcia, FNP

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1194373118
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95203161 Issued in CA
Practice address
1600 Pacific Hwy Ste 166
San Diego, CA 92101-2422
Phone
(619) 531-5413
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95203161 CA Primary

Addresses

Primary practice location

1600 Pacific Hwy Ste 166
San Diego, CA 92101-2422

Mailing address

559 Sunnyside Ave
San Diego, CA 92114-4943
Phone (193) 393-7126

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
I20231003002212 CA Practitioner - Nurse Practitioner 3173977584 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95203161CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Oct 23, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Oct 23, 2023 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients

Locations

1550 Broadway
#2
San Diego, CA 92101
Phone (619) 515-2525

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Interoperability endpoints

  • Direct secure messaging: paola.garcia.1@29786.direct.athenahealth.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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1194373118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 SUNNYSIDE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144943",
            "telephone_number": "193-393-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC HWY STE 166",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012422",
            "telephone_number": "619-531-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PAOLA",
        "middle_name": "LIZETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95203161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.