Individual provider Active NPI

Marichu Garcia David

  • Family Nurse Practitioner
  • Lincoln, CA
National Provider Identifier
1457964504
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
852565 Issued in CA
Practice address
89 Lincoln Blvd
Lincoln, CA 95648-6315
Phone
(916) 543-1583
Fax
(877) 466-7829
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 852565 CA Primary

Addresses

Primary practice location

89 Lincoln Blvd
Lincoln, CA 95648-6315

Mailing address

1368 Walden Dr
Folsom, CA 95630-8467
Phone (916) 586-9743

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
I20210326000264 CA Practitioner - Nurse Practitioner 4880001452 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

5201 Norris Canyon Rd
San Ramon, CA 94583-5411
Phone (206) 823-1004

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400
Phone 9164149055100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852565CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Nov 1, 2024 Accepting new patients
Daiya Healthcare PLLC CurrentSince Dec 1, 2025 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Lincoln Medical Practice Inc CurrentSince Aug 30, 2020 Accepting new patients
Andrew Nangalama MD, PHD, PC CurrentSince Dec 17, 2024 Accepting new patients
Community Health Centers of America CurrentSince Nov 1, 2024 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 694-3602

89 Lincoln Blvd
Lincoln, CA 95648
Phone (916) 434-8800

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

9490 Madison Ave
Ste 200
Orangevale, CA 95662
Phone (702) 496-1484

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584

2215 Oakmont Way
West Sacramento, CA 95691
Phone (916) 371-1890

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1457964504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 WALDEN DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308467",
            "telephone_number": "916-586-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LINCOLN BLVD",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486315",
            "telephone_number": "916-543-1583",
            "fax_number": "877-466-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARICHU",
        "middle_name": "GARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "852565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

Verify at the official NPI Registry.