Individual provider Active NPI

Faviola G Garcia, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1376091587
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130920 Issued in CA
Practice address
1500 N Waterman Ave
San Bernardino, CA 92404-5111
Phone
(909) 703-4099
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CA
Clinical Social Worker 1041C0700X 130920 CA Primary
Mental Health Counselor 101YM0800X CA

Addresses

Primary practice location

1500 N Waterman Ave
San Bernardino, CA 92404-5111

Mailing address

1500 N Waterman Ave
San Bernardino, CA 92404-5111
Phone (909) 703-4099

Other practice location 1

572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Phone (909) 266-2700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723000238 CA Practitioner - Clinical Social Worker 6507372927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John'S Community HealthGroup PAC ID 2961482690, 151 clinicians
Loma Linda University Medical CenterGroup PAC ID 8325099138, 19 clinicians

Practice addresses (Care Compare)

1500 N Waterman Ave
San Bernardino, CA 92404-5111
Phone (323) 541-1600

1686 Barton Rd
Redlands, CA 92373-1488
Phone (909) 558-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130920CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Jun 1, 2025 Accepting new patients
St. Johns Community Health CurrentSince Jun 1, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

15301 S San Jose Ave
Compton, CA 90221
Phone (562) 630-6825

1111 E Artesia Blvd
Compton, CA 90221
Phone (310) 900-1600

15715 S Atlantic Ave
Fl 2
East Rancho Dominguez, CA 90221
Phone 32354116002332

82025 US Highway 111
Unit 101
Indio, CA 92201
Phone 32354116002332

4085 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 541-1631

6818 Avalon Blvd
Los Angeles, CA 90003

1910 Magnolia Ave
Ste 101
Los Angeles, CA 90007

1321 E 1st St
Los Angeles, CA 90033

5701 S Hoover St
Los Angeles, CA 90037
Phone (323) 541-1400

6505 8th Ave
Los Angeles, CA 90043
Phone (323) 750-9232

1741 E 120th St
Fl 2
Los Angeles, CA 90059

1060 Exposition Blvd
Los Angeles, CA 90007
Phone 32354116002332

1555 W 110th St
Los Angeles, CA 90047
Phone (323) 757-2771

4251 Crenshaw Blvd
Los Angeles, CA 90008
Phone (323) 295-5577

1741 E 120th St
Los Angeles, CA 90059
Phone (424) 758-9002

2512 Alta St
Los Angeles, CA 90031
Phone (323) 441-2139

326 W 23rd St
Los Angeles, CA 90007
Phone (323) 366-1100

444 S Mathews St
Los Angeles, CA 90033
Phone (323) 541-1400

3628 E Imperial Hwy
Ste 301
Lynwood, CA 90262
Phone (310) 605-0048

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1376091587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045111",
            "telephone_number": "909-703-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045111",
            "telephone_number": "909-703-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011251",
            "country_code": "US",
            "telephone_number": "909-266-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "FAVIOLA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130920",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.