Active NPI
Virginia Ellen Garrett, M.D.
- Spinal Cord Injury Medicine Physician
- Riverside, CA
National Provider Identifier
1326193624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- G45812
- Practice address
- 3737 McCray St
Riverside, CA 92506-2928 - Phone
- (951) 823-0266
- Fax
- (951) 823-0266
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | G45812 | CA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | G45812 | CA | Primary |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | G45812 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | G45812 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35-049101 | OH | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 35-049101 | OH | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 35-049101 | OH | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 35-049101 | OH | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 35-049101 | OH |
Addresses
Primary practice location
3737 McCray St
Riverside, CA 92506-2928
Mailing address
3737 McCray St
Riverside, CA 92506-2928
Phone (951) 823-0266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-049101 | Medicaid | OH | |
| 0653163 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Cincinnati College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3737 McCray St
Riverside, CA 92506-2928
Phone (951) 823-0266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45812 | CA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| 35-049101 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Riverside, CA
- NPI 1942521877
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1326193624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MCCRAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062928",
"telephone_number": "951-823-0266",
"fax_number": "951-823-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MCCRAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062928",
"telephone_number": "951-823-0266",
"fax_number": "951-823-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "VIRGINIA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "CA",
"license": "G45812",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "G45812",
"primary": true
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "G45812",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "G45812",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35-049101",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "OH",
"license": "35-049101",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OH",
"license": "35-049101",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "OH",
"license": "35-049101",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "OH",
"license": "35-049101",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35-049101",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0653163",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.