Active NPI
Daniel James Garcia, LCSW
- Clinical Social Worker
- Tustin, CA
National Provider Identifier
1205074804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS24598
- Practice address
- 17632 Irvine Blvd
Ste 250
Tustin, CA 92780-3148 - Phone
- (714) 724-0499
- Fax
- (714) 508-7301
- NPI assigned
- Feb 4, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS24598 | CA | Primary |
Addresses
Primary practice location
17632 Irvine Blvd
Ste 250
Tustin, CA 92780-3148
Mailing address
17632 Irvine Blvd
Ste 250
Tustin, CA 92780-3148
Phone (714) 724-0499
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moataz Giurgius M D Inc | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1205074804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17632 IRVINE BLVD",
"address_2": "STE 250",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803148",
"telephone_number": "714-724-0499",
"fax_number": "714-508-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17632 IRVINE BLVD",
"address_2": "STE 250",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803148",
"telephone_number": "714-724-0499",
"fax_number": "714-508-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS24598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.