Individual provider Active NPI

Paul Joseph Garcia, DC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1235335142
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26050 Issued in CA
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

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200609003121 ID Practitioner - Chiropractic 0547156630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Health Group PLLCGroup PAC ID 4981912870, 3 clinicians

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

LicenseStateTypeSpecialty
26050CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abella-Desuyo Chiropractic Chiropractor CurrentSince Oct 1, 2019 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.

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.

Verify at the official NPI Registry.