Em Vitug Garcia, PHD, DHED, MBA, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95008296 Issued in CA

Practice address

16237 Ventura Blvd
Encino, CA 91436-2201

Phone

(805) 558-8560

NPI assigned

Jan 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295233039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 CORPUS CHRISTI ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631907",
            "telephone_number": "805-558-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362201",
            "telephone_number": "805-558-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 Corpus Christi St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930631907",
            "country_code": "US",
            "telephone_number": "805-762-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EM",
        "middle_name": "VITUG",
        "name_prefix": "Dr.",
        "credential": "PHD, DHED, MBA, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahyar Ganjianpour
• Jacqueline Bautista Guinto Ganley, MS, BCBA
• Marilyn Garcia Fernandez
• Mario Garcia Llamas
• Alda Garcia
• Felipe Garcia
• Jessica Garcia
• Korina Leann Garcia
• Lyliana Garcia
• Natalie Carmen Garcia

• Primary Care Nurse Practitioner in Encino, CA
• Providers in Encino, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.