Individual provider Active NPI

Wilmer Ernesto Garcia Ricardo, M.D.

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1205496239
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A176543 Issued in CA
Practice address
8083 Mariners Dr
Stockton, CA 95219-5428
Phone
(786) 296-6446
NPI assigned
Jun 20, 2019
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A176543 CA Primary

Addresses

Primary practice location

8083 Mariners Dr
Stockton, CA 95219-5428

Mailing address

8083 Mariners Dr
Stockton, CA 95219-5428
Phone (786) 296-6446

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001632 CA Practitioner - Family Practice 8224419932 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122

12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531

14624 Sherman Way
FL 6
Van Nuys, CA 91405-2241
Phone (818) 988-6335

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 627-3050

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176543CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 15, 2022 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
The Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 15, 2022 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

23815 Stuart Ranch Rd
Ste 301
Malibu, CA 90265
Phone (310) 317-0034

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2424 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 828-4530

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

23861 McBean Pkwy
Ste E24
Valencia, CA 91355
Phone (661) 259-8252

14624 Sherman Way
Fl 6
Van Nuys, CA 91405
Phone (818) 988-6335

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

6344 Topanga Canyon Blvd
Ste 20
Woodland Hills, CA 91367

Interoperability endpoints

  • Direct secure messaging: wgarciaricardo626121@direct.uclahealth.org
  • Direct secure messaging: wilmer.garcia.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1205496239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8083 MARINERS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952195428",
            "telephone_number": "786-296-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8083 MARINERS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952195428",
            "telephone_number": "786-296-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RICARDO",
        "first_name": "WILMER",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A176543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.