Individual provider Active NPI

Brant Nathanael Garcia

  • Acute Care Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1437035573
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95036578 Issued in CA
Practice address
12490 Business Center Dr
Victorville, CA 92395-5833
Phone
(760) 457-0240
NPI assigned
Aug 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95036578 CA Primary

Addresses

Primary practice location

12490 Business Center Dr
Victorville, CA 92395-5833

Mailing address

122 Swift
Irvine, CA 92618-1705
Phone (629) 264-4259

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226001611 CA Practitioner - Nurse Practitioner 2961998125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Healthcare Associates, Inc.Group PAC ID 3678759206, 9 clinicians

Practice addresses (Care Compare)

13010 Hesperia Rd
Suite 400
Victorville, CA 92395-8315
Phone (760) 242-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036578CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Sep 13, 2025 Accepting new patients
Sol Radiology, Inc. PastSince Aug 17, 2025 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

13010 Hesperia Rd
Ste 400
Victorville, CA 92395
Phone (760) 242-5111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1437035573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SWIFT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181705",
            "telephone_number": "629-264-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 BUSINESS CENTER DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955833",
            "telephone_number": "760-457-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BRANT",
        "middle_name": "NATHANAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95036578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.