Active NPI
Richard Garcia, M.D.
- Pediatrics Physician
- Stockton, CA
National Provider Identifier
1194935205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G75626
- Practice address
- 1339 S Madison St
Stockton, CA 95206-1751 - Phone
- (209) 466-0863
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G75626 | CA | Primary |
Addresses
Primary practice location
1339 S Madison St
Stockton, CA 95206-1751
Mailing address
4113 Pebble Beach Dr
Stockton, CA 95219-1912
Phone (209) 277-8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G756260 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75626 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Specialty Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1194935205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 PEBBLE BEACH DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952191912",
"telephone_number": "209-277-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 S MADISON ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952061751",
"telephone_number": "209-466-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G75626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G756260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.