Active NPI
Ketzie Lee Garcia
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1376004408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 815 N El Centro Ave
Los Angeles, CA 90038-3805 - Phone
- (323) 769-7199
- Fax
- (323) 463-0619
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
815 N El Centro Ave
Los Angeles, CA 90038-3805
Mailing address
815 N El Centro Ave
Los Angeles, CA 90038-3805
Phone (323) 769-7199
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1376004408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 N EL CENTRO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383805",
"telephone_number": "323-769-7199",
"fax_number": "323-463-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N EL CENTRO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383805",
"telephone_number": "323-769-7199",
"fax_number": "323-463-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "KETZIE",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.