Active NPI
Daniel H & Emily B Garcia
Doing business as East Valley Medical Diagnostic Center
- Specialist
- Concrete, WA
National Provider Identifier
1285743039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- DANIEL H & EMILY B GARCIA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7261100 | Medicaid | WA | |
| 18289 | Other | WA | LABOR & INDUSTRIES |
| 33706 | Other | WA | REGENCE |
Other names 1
- East Valley Medical Diagnostic Center
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.
-
- Family Medicine Physician
- Concrete, WA
- NPI 1124137997
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.