NPIMap

Individual provider Active NPI

Maricon Barba Garingo, PT,DPT,GCS

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1215511894
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34496 Issued in CA
Practice address
1072 Misty Creek St
Chula Vista, CA 91913-2818
Phone
(619) 823-2716
Fax
(619) 934-0460
NPI assigned
May 10, 2021
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34496 CA Primary

Addresses

Primary practice location

1072 Misty Creek St
Chula Vista, CA 91913-2818

Mailing address

1072 Misty Creek St
Chula Vista, CA 91913-2818
Phone (619) 823-2716

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT34496CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1215511894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 MISTY CREEK ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132818",
            "telephone_number": "619-823-2716",
            "fax_number": "619-934-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 MISTY CREEK ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132818",
            "telephone_number": "619-823-2716",
            "fax_number": "619-934-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARINGO",
        "first_name": "MARICON",
        "middle_name": "BARBA",
        "credential": "PT,DPT,GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.