Individual provider Active NPI

Marlon Vitug Garcia, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1366266629
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95032688 Issued in CA
Practice address
1207 E Florida Ave
Hemet, CA 92543-4513
Phone
(951) 925-2523
NPI assigned
Nov 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X NP95032688 CA Primary

Addresses

Primary practice location

1207 E Florida Ave
Hemet, CA 92543-4513

Mailing address

14630 Rosea CT
Moreno Valley, CA 92555-4754
Phone (781) 351-9456

Other practice location 1

621 N State St Ste A
San Jacinto, CA 92583-6567
Phone (951) 654-2300

Other practice location 2

25970 Iris Ave Ste 3B
Moreno Valley, CA 92551-1660
Phone (951) 924-2775

Other practice location 3

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3789

Other practice location 4

1688 N Perris Blvd Ste F4
Perris, CA 92571-4702
Phone (951) 940-4500

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 Science - Nursing

State licenses

LicenseStateTypeSpecialty
NP95032688CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Urgent Care, Inc Multi-Specialty 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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1366266629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14630 ROSEA CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554754",
            "telephone_number": "781-351-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434513",
            "telephone_number": "951-925-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 N State St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925836567",
            "country_code": "US",
            "telephone_number": "951-654-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25970 Iris Ave Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925511660",
            "country_code": "US",
            "telephone_number": "951-924-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7117 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062658",
            "country_code": "US",
            "telephone_number": "951-782-3789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1688 N Perris Blvd Ste F4",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925714702",
            "country_code": "US",
            "telephone_number": "951-940-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARLON",
        "middle_name": "VITUG",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.