Active NPI
Zachariah Garcia
- Family Medicine Physician
- Greeley, CO
National Provider Identifier
1316604309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1083642680
- Practice address
- 1600 23Rd Ave
Greeley, CO 80634-6070 - Phone
- (602) 747-4000
- NPI assigned
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1083642680 | CO | Primary |
Addresses
Primary practice location
1600 23Rd Ave
Greeley, CO 80634-6070
Mailing address
6600 8TH St Unit 7103
Greeley, CO 80634-1399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W166044 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1083642680 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1316604309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 8TH ST UNIT 7103",
"city": "GREELEY",
"state": "CO",
"postal_code": "806341399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 23RD AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346070",
"telephone_number": "602-747-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ZACHARIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "1083642680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W166044",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.