Individual provider Active NPI

Angela Susan Garcia, RD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1366065245
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81383 Issued in TX
Practice address
615 Point SPGS
San Antonio, TX 78253-5645
Phone
(210) 630-2490
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 14157766-4901 UT
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT81383 TX Primary
Registered Dietitian 133V00000X ND12772 FL
Registered Dietitian 133V00000X DX6715 MD
Registered Dietitian 133V00000X NDP-2025-0023 NM
Registered Dietitian 133V00000X 40823-DI-0 NV

Addresses

Primary practice location

615 Point SPGS
San Antonio, TX 78253-5645

Mailing address

615 Point SPGS
San Antonio, TX 78253-5645
Phone (210) 630-2490

Other practice location 1

3865 Jasmine Ave
Culver City, CA 90232-3105
Phone (949) 484-9517

Other practice location 2

635 Main St Ste 206A
Klamath Falls, OR 97601-6007
Phone (949) 484-9517

Other practice location 3

5 Greentree Center, Suite 117
Marlton, NJ 08053-3422
Phone (949) 484-9517

Other practice location 4

400 Renaissance Ctr Ste 2626
Detroit, MI 48243-1502
Phone (949) 484-9517

Other practice location 5

9 Centennial Dr Ste 233
Peabody, MA 01960-7939
Phone (949) 484-9517

Other practice location 6

7261 S Broadway Ste 14L
Littleton, CO 80122-8019
Phone (949) 484-9517

Other practice location 7

2719 S El Camino Real
San Clemente, CA 92672-3354
Phone (949) 484-9517

Other practice location 8

3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802
Phone (949) 484-9517

Other practice location 9

2501 S W S Young Dr Ste 305
Killeen, TX 76542-2005
Phone (949) 484-9517

Other practice location 10

3500 Comanche NW Building E, Ste #15a
Albuquerque, NM 87107-4546
Phone (949) 484-9517

Other practice location 11

701 N Green Valley Pkwy Ste 213
Henderson, NV 89074-6177
Phone (949) 484-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CA, CO, NJ, NV, MI, NM, OR9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20210401000529 TX Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX
I20231107001854 AZ Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20231107001982 CA Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20240119003103 CO Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20240430001014 NJ Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20240618003680 NV Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20241204003638 MI Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20250317000776 NM Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization
I20250926003038 OR Practitioner - Registered Dietitian Or Nutrition Professional 4981011301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic NutritionGroup PAC ID 5294235982, 3 clinicians

Practice addresses (Care Compare)

5021 Tualata LN
Lake Oswego, OR 97035-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND12772FLMDRegistered Dietitian
DX6715MDMDRegistered Dietitian
NDP-2025-0023NMMDRegistered Dietitian
40823-DI-0NVMDRegistered Dietitian
DT81383TXMDRegistered Dietitian
14157766-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Nutrition Dietitian, Registered CurrentSince Jul 14, 2025 Accepting new patients
Jonathan Larson MD PC Single Specialty CurrentSince Aug 15, 2023 Accepting new patients
Central Texas Holistic Care PLLC Single Specialty PastSince Aug 25, 2024 Accepting new patients

Locations

3000 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 282-4078

3865 Jasmine Ave
Culver City, CA 90232
Phone (310) 839-4381

7261 S Broadway
Ste 14L
Littleton, CO 80122
Phone (719) 349-0557

9 Centennial Dr
Ste 233
Peabody, MA 01960

400 Renaissance Ctr
Ste 2626
Detroit, MI 48243

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

701 N Green Valley Pkwy
Ste 213
Henderson, NV 89074

2505 Anthem Village Dr
Henderson, NV 89052

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

2501 S W S Young Dr
Ste 305
Killeen, TX 76542

Organizations & group practices 3

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1366065245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 POINT SPGS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535645",
            "telephone_number": "210-630-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 POINT SPGS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535645",
            "telephone_number": "210-630-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3865 Jasmine Ave",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902323105",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Main St Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016007",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Greentree Center, Suite 117",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533422",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Renaissance Ctr Ste 2626",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482431502",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centennial Dr Ste 233",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7261 S Broadway Ste 14L",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801228019",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Litchfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957802",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 S W S Young Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765422005",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Comanche NW Building E, Ste #15a",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074546",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Green Valley Pkwy Ste 213",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746177",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANGELA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "14157766-4901",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81383",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12772",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6715",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "NDP-2025-0023",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40823-DI-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.