Active NPI
Paul Joseph Garcia, DC
- Chiropractor
- Meridian, ID
National Provider Identifier
1235335142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26050
- Practice address
- 2122 W Everest LN
Meridian, ID 83646-7033 - Phone
- (208) 343-2770
- Fax
- (208) 888-1097
- NPI assigned
- Jun 26, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26050 | CA | Primary |
Addresses
Primary practice location
2122 W Everest LN
Meridian, ID 83646-7033
Mailing address
2122 W Everest LN
Meridian, ID 83646-7033
Phone (208) 343-2770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2122 W Everest LN
Meridian, ID 83646-7033
Phone (208) 343-2770
420 W Main St
Suite 206
Boise, ID 83702-7363
Phone 20842692007004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26050 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abella-Desuyo Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675
Phone (209) 559-4498
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Boise, ID
- NPI 1770963274
-
- Chiropractor
- San Juan Capistrano, CA
- NPI 1265074140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1235335142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 W EVEREST LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467033",
"telephone_number": "208-343-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 W EVEREST LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467033",
"telephone_number": "208-343-2770",
"fax_number": "208-888-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.