Individual provider Active NPI

Lytara Antoinette Garcia

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1386996213
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101025 Issued in CA
Practice address
2315 E Palmdale Blvd # C24
Palmdale, CA 93550-4959
Phone
(323) 632-5926
NPI assigned
Oct 2, 2012
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ACS100194 CA
Mental Health Counselor 101YM0800X ACS65391 CA
Clinical Social Worker 1041C0700X 101025 CA Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

2315 E Palmdale Blvd # C24
Palmdale, CA 93550-4959

Mailing address

2315 E Palmdale Blvd # C24
Palmdale, CA 93550-4959
Phone (323) 632-5926

Other practice location 1

43807 10th St W Ste D
Lancaster, CA 93534-4805
Phone (661) 575-9365

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACS100194CAMDMental Health Counselor
ACS65391CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1386996213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E PALMDALE BLVD # C24",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504959",
            "telephone_number": "323-632-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E PALMDALE BLVD # C24",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504959",
            "telephone_number": "323-632-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43807 10th St W Ste D",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344805",
            "country_code": "US",
            "telephone_number": "661-575-9365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LYTARA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACS100194",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACS65391",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101025",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.