Individual provider Active NPI

Eric Garcia, MSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1295914521
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
85192 Issued in CA
Practice address
2645 E Plymouth Way
Fresno, CA 93720-5460
Phone
(209) 261-2930
NPI assigned
Nov 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 85192 CA Primary

Addresses

Primary practice location

2645 E Plymouth Way
Fresno, CA 93720-5460

Mailing address

1797 San Jose Ave
Clovis, CA 93611-3078
Phone (209) 261-2930

Other practice location 1

3239 E Tenaya Way
Fresno, CA 93710-5924
Phone (209) 261-2930

Other practice location 2

1797 San Jose Ave
Clovis, CA 93611-3078
Phone (209) 261-2930

Other identifiers 1

IdentifierTypeStateIssuer
101076OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85192CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County, Department of Behavioral Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1295914521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "209-261-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 E PLYMOUTH WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205460",
            "telephone_number": "209-261-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "209-261-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1797 San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936113078",
            "country_code": "US",
            "telephone_number": "209-261-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ERIC",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "101076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.