NPIMap

Individual provider Active NPI

Ric Scott Garrison, M.D.

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1295814408
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G50780 Issued in CA
Practice address
41210 11TH St W
Ste C
Palmdale, CA 93551-1447
Phone
(661) 947-7100
Fax
(661) 947-1415
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X G50780 CA
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X G50780 CA
Allergy & Immunology Physician 207K00000X G50780 CA
Dermatology Physician 207N00000X G50780 CA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X G50780 CA
Family Medicine Physician 207Q00000X G50780 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X G50780 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X G50780 CA
Adult Medicine Physician 207QA0505X G50780 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X G50780 CA
Sports Medicine (Family Medicine) Physician 207QS0010X G50780 CA
Internal Medicine Physician 207R00000X G50780 CA
Obstetrics & Gynecology Physician 207V00000X G50780 CA
Pediatrics Physician 208000000X G50780 CA
Physical Medicine & Rehabilitation Physician 208100000X G50780 CA

Addresses

Primary practice location

41210 11TH St W
Ste C
Palmdale, CA 93551-1447

Mailing address

41210 11TH St W
Ste C
Palmdale, CA 93551-1447
Phone (661) 947-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000069 CA Practitioner - Family PracticePractitioner - General Practice 6002979580 Practice locations: Palmdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41210 11TH St W
Suite C
Palmdale, CA 93551-1447
Phone (661) 947-7100

Hospital & facility affiliations

  • Tristar Home Health Care, Inc Home health agency, Northridge, CA, CCN 559499
  • Sila-V Health Care, Inc Home health agency, Newhall, CA, CCN 559579
  • Blue Sky Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 059126
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal or shaving of skin growth42
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50780CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garrison Family Medical Group Inc Family Medicine Current Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Acton Medical Clinic Inc. Family Medicine PastSince Jan 1, 2008 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Garrison Family Medical Group Canyon Country PastSince Jan 12, 1985 Accepting new patients
Garrison Family Medical Group Dietary Manager PastSince Jan 12, 1985 Accepting new patients
Garrison Family Medical Group Canyon Country PastSince Jan 12, 1985 Accepting new patients
The Womans Image PastSince Jan 12, 1985 Accepting new patients

Locations

41210 11th St W
Ste C
Palmdale, CA 93551
Phone (661) 947-7100

Interoperability endpoints

  • Direct secure messaging: ric.garrison@584195790405636.direct.elationemr.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1295814408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41210 11TH ST W",
            "address_2": "STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511447",
            "telephone_number": "661-947-7100",
            "fax_number": "661-947-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41210 11TH ST W",
            "address_2": "STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511447",
            "telephone_number": "661-947-7100",
            "fax_number": "661-947-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "RIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G50780",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G50780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.