Active NPI
Taylor Jerae Garcia, DC
- Chiropractor
- Brea, CA
National Provider Identifier
1417620857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34920
- Practice address
- 411 Atlas St Ste a
Brea, CA 92821-3143 - Phone
- (714) 672-9690
- Fax
- (714) 672-9692
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34920 | CA | Primary |
Addresses
Primary practice location
411 Atlas St Ste a
Brea, CA 92821-3143
Mailing address
411 Atlas St Ste a
Brea, CA 92821-3143
Phone (714) 672-9690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1101 Bryan Ave
Suite B
Tustin, CA 92780-4485
2155 Alabama Ave
Oneonta, AL 35121-1904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34920 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1417620857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ATLAS ST STE A",
"city": "BREA",
"state": "CA",
"postal_code": "928213143",
"telephone_number": "714-672-9690",
"fax_number": "714-672-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 ATLAS ST STE A",
"city": "BREA",
"state": "CA",
"postal_code": "928213143",
"telephone_number": "714-672-9690",
"fax_number": "714-672-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "TAYLOR",
"middle_name": "JERAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.