Individual provider Active NPI

Edmundo Oscar Garcia, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1235134016
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G1401 Issued in TX
Practice address
9673 Marbach Rd
San Antonio, TX 78245-1821
Phone
(210) 675-8390
Fax
(210) 675-2026
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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 G1401 TX Primary

Addresses

Primary practice location

9673 Marbach Rd
San Antonio, TX 78245-1821

Mailing address

9673 Marbach Rd
San Antonio, TX 78245-1821
Phone (210) 675-8390

Other identifiers 1

IdentifierTypeStateIssuer
0334054MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100105000597 TX Practitioner - Family Practice 2567503113 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9673 Marbach Rd
San Antonio, TX 78245-1821
Phone (210) 675-8390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1401TXMDFamily Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCAED/Endpoint/BCCAED

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1235134016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451821",
            "telephone_number": "210-675-8390",
            "fax_number": "210-675-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9673 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451821",
            "telephone_number": "210-675-8390",
            "fax_number": "210-675-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EDMUNDO",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334054",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.