Organization Active NPI

Donald P Garcia MD Inc

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1265527592
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G46236 Issued in CA
Legal business name
DONALD P GARCIA MD INC
Practice address
123 S Commerce St
Suite F
Stockton, CA 95202-2837
Phone
(209) 465-2711
Fax
(209) 465-2771
NPI assigned
Oct 3, 2006
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Donald P Garcia, MDNPI 1053324251
Title
President
Phone
(209) 465-2711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G46236 CA Primary

Addresses

Primary practice location

123 S Commerce St
Suite F
Stockton, CA 95202-2837

Mailing address

PO Box 8385
Stockton, CA 95208-0385
Phone (209) 465-2711

Other identifiers 1

IdentifierTypeStateIssuer
020051381OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000500 CA Part B Supplier - Clinic/Group Practice 9931281656 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

123 S Commerce St
Ste F
Stockton, CA 95202
Phone (209) 465-2711

221 Tuxedo Ct
Ste E
Stockton, CA 95204
Phone (209) 465-2711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1265527592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8385",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952080385",
            "telephone_number": "209-465-2711",
            "fax_number": "209-465-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S COMMERCE ST",
            "address_2": "SUITE F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022837",
            "telephone_number": "209-465-2711",
            "fax_number": "209-465-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD P GARCIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-465-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G46236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020051381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.