Individual provider Active NPI

Peter John Garcia, F.N.P.

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1205832763
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
529858/12683 Issued in CA
Practice address
7014 N Whitney Ave
Ste a
Fresno, CA 93720-0155
Phone
(559) 321-2858
Fax
(559) 321-2780
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 529858/12683 CA Primary

Addresses

Primary practice location

7014 N Whitney Ave
Ste a
Fresno, CA 93720-0155

Mailing address

7014 N Whitney Ave
Ste a
Fresno, CA 93720-0155
Phone (559) 321-2858

Other identifiers 2

IdentifierTypeStateIssuer
529858OtherCARN LICENSE
NP12683OtherCANP LICENSE

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
I20080307000521 CA Practitioner - Nurse Practitioner 4880779396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2800

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
70.87
Promoting interoperability
100
Improvement activities
40
Cost
70.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12683CAMDChiropractor
529858/12683CAMDFamily Nurse Practitioner

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, 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1205832763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "address_2": "STE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2858",
            "fax_number": "559-321-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "address_2": "STE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2858",
            "fax_number": "559-321-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "529858/12683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "529858",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "NP12683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.