Active NPI
Jose Manuel Garcia, MSW
- Clinical Social Worker
- Commerce, CA
National Provider Identifier
1275057879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5628 E Slauson Ave
Commerce, CA 90040-2922 - Phone
- (323) 318-9960
- NPI assigned
- Jul 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW77607 | CA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5628 E Slauson Ave
Commerce, CA 90040-2922
Mailing address
900 Corporate Center Dr Ste 350
Monterey Park, CA 91754-7620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW77607 | Medicaid | CA |
Other names 1
- Mr. Jose Manuel Garcia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW77607 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1275057879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CORPORATE CENTER DR STE 350",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-318-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JOSE",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW77607",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ASW77607",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "GARCIA",
"middle_name": "MANUEL",
"prefix": "MR.",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.