Active NPI
Deana Janene Garcia, PA-C
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21042
- Practice address
- 3544 30TH St
San Diego, CA 92104-4120 - Phone
- (619) 515-2424
- NPI assigned
- Sep 4, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21042 | CA | Primary |
Addresses
Primary practice location
3544 30TH St
San Diego, CA 92104-4120
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300
Other practice location 1
1075 Camino Del Rio S
San Diego, CA 92108-3538
Phone (619) 881-4500
Other practice location 2
251 Landis Ave
Chula Vista, CA 91910-2628
Phone (619) 515-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC71082F | Medicaid | CA |
Other names 1
- Deana Janene Tucker
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3514 30TH St
San Diego, CA 92104-4120
Phone (619) 515-2424
3544 30TH St
San Diego, CA 92104-4120
Phone (619) 515-2424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
3544 30th St
San Diego, CA 92104
Phone (619) 515-2424
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1083959464
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1023054004
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1447567995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-515-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 30TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044120",
"telephone_number": "619-515-2424"
}
],
"practiceLocations": [
{
"address_1": "1075 Camino Del Rio S",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083538",
"country_code": "US",
"telephone_number": "619-881-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 Landis Ave",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102628",
"country_code": "US",
"telephone_number": "619-515-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "DEANA",
"middle_name": "JANENE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-04",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC71082F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEANA",
"last_name": "TUCKER",
"middle_name": "JANENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.