Active NPI
Gregory Bernard Garrett, M.A.
- Student in an Organized Health Care Education/Training Program
- Alpine, CA
National Provider Identifier
1356589626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2120 Alpine Blvd
Alpine, CA 91901-2113 - Phone
- (619) 445-3940
- NPI assigned
- Jan 25, 2009
- Last updated
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
2120 Alpine Blvd
Alpine, CA 91901-2113
Mailing address
2120 Alpine Blvd
Alpine, CA 91901-2113
Phone (619) 445-3940
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1356589626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 ALPINE BLVD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919012113",
"telephone_number": "619-445-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 ALPINE BLVD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919012113",
"telephone_number": "619-445-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "GREGORY",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-25",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
- Ashley Fuller
- Fusion Care Group, a Psychological Professional Corporation
- Rene Gaeta, RD
- Corinna Marie Garcia
- Terri L Garcia, CADC II-CA, CSC
- Kaylyn Gatto
- Brooke Ashley Geest, RDH
- Gessner-Peterson Alpine Urgent Care, Inc (Gessner-Peterson Alpine Urgent care)
- Mary C Gessner-Peterson, DO
- Kadee Gilligan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.