Organization Active NPI

Teresa H Garcia, M.D., Inc

  • Medical Specialty Clinic/Center
  • Orange, CA
National Provider Identifier
1417181470
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G71922 Issued in CA
Legal business name
TERESA H GARCIA, M.D., INC
Practice address
1140 W la Veta Ave
Suite 480
Orange, CA 92868-4223
Phone
(714) 547-8700
Fax
(714) 547-2460
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Teresa H Garcia, MD
Title
Owner
Phone
(714) 547-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G71922 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave
Suite 480
Orange, CA 92868-4223

Mailing address

1140 W la Veta Ave
Suite 480
Orange, CA 92868-4223
Phone (714) 547-8700

Other identifiers 3

IdentifierTypeStateIssuer
G71922OtherCACA STATE LICENSE
00G719220MedicaidCA
1841219243OtherCANPI - INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

1140 W La Veta Ave
Ste 480
Orange, CA 92868
Phone (714) 547-8700

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1417181470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 480",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684223",
            "telephone_number": "714-547-8700",
            "fax_number": "714-547-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 480",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684223",
            "telephone_number": "714-547-8700",
            "fax_number": "714-547-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA H GARCIA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-547-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G71922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G71922",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G719220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1841219243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.