Organization Active NPI

Daniel H & Emily B Garcia

Doing business as East Valley Medical Diagnostic Center

  • Specialist
  • Concrete, WA
National Provider Identifier
1285743039
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DANIEL H & EMILY B GARCIA
Doing business as
East Valley Medical Diagnostic Center
Practice address
7438 S D Ave Ste a
Concrete, WA 98237-9642
Phone
(360) 853-8183
NPI assigned
Aug 29, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DANIEL H & EMILY B GARCIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Emily B Garcia
Title
Administrator/Owner
Phone
(360) 853-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7438 S D Ave Ste a
Concrete, WA 98237-9642

Mailing address

7438 S D Ave Ste a
Concrete, WA 98237-9642
Phone (360) 853-8183

Other identifiers 3

IdentifierTypeStateIssuer
7261100MedicaidWA
18289OtherWALABOR & INDUSTRIES
33706OtherWAREGENCE

Other names 1

  • East Valley Medical Diagnostic Center Doing business as

National Provider Directory

National Provider Directory
Part of
East Valley Medical Center

Locations

7438 S D Ave
Ste A
Concrete, WA 98237
Phone (360) 853-8183

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1285743039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 S D AVE STE A",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379642",
            "telephone_number": "360-853-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 S D AVE STE A",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379642",
            "telephone_number": "360-853-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H & EMILY B GARCIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL H & EMILY B GARCIA",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "360-853-8183"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7261100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "18289",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "33706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Valley Medical Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concrete, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.