Organization Active NPI

Gary S Garcia MD Inc

  • General Practice Physician
  • Salinas, CA
National Provider Identifier
1285140970
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A143310 Issued in CA
Legal business name
GARY S GARCIA MD INC
Practice address
49 San Miguel Ave
Salinas, CA 93901-3062
Phone
(831) 424-7172
Fax
(831) 424-6313
NPI assigned
Dec 18, 2017
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Gary S Garcia, MDNPI 1417368788
Title
Ceo
Phone
(831) 424-7172

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
General Practice Physician 208D00000X A143310 CA Primary

Addresses

Primary practice location

49 San Miguel Ave
Salinas, CA 93901-3062

Mailing address

49 San Miguel Ave
Salinas, CA 93901-3062
Phone (831) 424-7172

Other names 1

  • GARY GARCIA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508002226 CA Part B Supplier - Clinic/Group Practice 5395009823 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2166397Gary S Garcia MD Inc49 San Miguel Ave, Salinas, CA 93901Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

49 San Miguel Ave
Salinas, CA 93901
Phone (415) 488-5866

Practitioners & affiliated clinicians

Practitioners 3

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": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1285140970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SAN MIGUEL AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013062",
            "telephone_number": "831-424-7172",
            "fax_number": "831-424-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SAN MIGUEL AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013062",
            "telephone_number": "831-424-7172",
            "fax_number": "831-424-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S GARCIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-424-7172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A143310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARY GARCIA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GARY GARCIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.