Individual provider Active NPI

Anna R Garcia, SUDRC

  • Addiction (Substance Use Disorder) Counselor
  • Vallejo, CA
National Provider Identifier
1467157743
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14805 Issued in CA
Practice address
126 Ohio St
Vallejo, CA 94590-5049
Phone
(707) 644-2577
Fax
(707) 644-5501
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14805 CA Primary

Addresses

Primary practice location

126 Ohio St
Vallejo, CA 94590-5049

Mailing address

30 Woodrow Ave
Vallejo, CA 94590-7344
Phone (707) 416-5038

Other practice location 1

30 Woodrow Ave
Vallejo, CA 94590-7344
Phone (707) 643-2715 ext. 2401

Other practice location 2

419 Pennsylvania St
Vallejo, CA 94590-6933
Phone (707) 643-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14805CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bi-Bett PastSince Apr 9, 2023 Accepting new patients
Shamia Recovery Center PastSince Apr 9, 2023 Accepting new patients

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1467157743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOODROW AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907344",
            "telephone_number": "707-416-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 OHIO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905049",
            "telephone_number": "707-644-2577",
            "fax_number": "707-644-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Woodrow Ave",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945907344",
            "country_code": "US",
            "telephone_number": "707-643-2715 x2401",
            "fax_number": "707-643-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 Pennsylvania St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945906933",
            "country_code": "US",
            "telephone_number": "707-643-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANNA",
        "middle_name": "R",
        "credential": "SUDRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.