Individual provider Active NPI

Robert James Garcia, ATC, LAT, DC

  • Chiropractor
  • El Segundo, CA
National Provider Identifier
1477096196
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36054 Issued in CA
Practice address
2255 E Maple Ave
El Segundo, CA 90245-6508
Phone
(310) 322-8777
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC36054 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 24-01067 KS

Addresses

Primary practice location

2255 E Maple Ave
El Segundo, CA 90245-6508

Mailing address

1747 7TH St
Los Osos, CA 93402-2113
Phone (805) 801-3834

Other practice location 1

1839 Merchant St
Apt 308
Emporia, KS 66801-9521
Phone (805) 801-3834

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
DC36054CAMDChiropractor
24-01067KSMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1477096196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 7TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934022113",
            "telephone_number": "805-801-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MAPLE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902456508",
            "telephone_number": "310-322-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Merchant St",
            "address_2": "APT 308",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668019521",
            "country_code": "US",
            "telephone_number": "805-801-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROBERT JAMES",
        "name_prefix": "Dr.",
        "credential": "ATC, LAT, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36054",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "24-01067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.