Individual provider Active NPI

Jorge Garcia, PH.D.

  • Clinical Psychologist
  • Whittier, CA
National Provider Identifier
1194732511
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16485 Issued in CA
Practice address
13006 Philadelphia St
Suite 411
Whittier, CA 90601-4210
Phone
(562) 945-5108
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16485 CA Primary

Addresses

Primary practice location

13006 Philadelphia St
Suite 411
Whittier, CA 90601-4210

Mailing address

13006 Philadelphia St
Suite 411
Whittier, CA 90601-4210
Phone (562) 945-5108

Other identifiers 1

IdentifierTypeStateIssuer
PSY164850MedicaidCA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000566 CA Practitioner - Clinical Psychologist 1456357771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13006 Philadelphia St
Suite 411
Whittier, CA 90601-4246
Phone (562) 945-5108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY16485CAMDClinical Psychologist
16485CAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Greenleaf Center a Psychological Services Corporation Clinical CurrentSince May 1, 2006 Accepting new patients

Locations

13006 Philadelphia St
Ste 411
Whittier, CA 90601
Phone (562) 945-5108

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1194732511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 411",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014210",
            "telephone_number": "562-945-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 411",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014210",
            "telephone_number": "562-945-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY164850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.