Individual provider Active NPI

Jennie Garcia, MD

  • Obstetrics & Gynecology Physician
  • Fremont, CA
National Provider Identifier
1245618115
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
158944 Issued in CA
Practice address
1999 Mowry Ave Ste N
Fremont, CA 94538-1723
Phone
(631) 413-6892
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 158944 CA Primary

Addresses

Primary practice location

1999 Mowry Ave Ste N
Fremont, CA 94538-1723

Mailing address

5387 Edmonton CMN
Fremont, CA 94555-2921
Phone (631) 413-6892

Other practice location 1

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8400

Other names 1

  • Jennie Seal Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112000604 CA Practitioner - Obstetrics/Gynecology 9335480755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158944CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Oct 30, 2021 Accepting new patients
Bay Area Community Health CurrentSince Oct 30, 2021 Accepting new patients
Regents Univ of California UCSF CurrentSince Nov 6, 2020 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1999 Mowry Ave
Fremont, CA 94538
Phone (510) 791-0957

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1999 Mowry Ave
Ste N
Fremont, CA 94538
Phone (510) 793-2645

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

Interoperability endpoints

  • Direct secure messaging: jgarcia174729@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jgarcia287415@direct.ochin.org

Organizations & group practices 4

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1245618115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 EDMONTON CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552921",
            "telephone_number": "631-413-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE STE N",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381723",
            "telephone_number": "631-413-6892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015425",
            "country_code": "US",
            "telephone_number": "718-250-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JENNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "158944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "SEAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.