Individual provider Active NPI

Michelle Garcia, APN

  • Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1487012811
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012820 Issued in CA
Practice address
25301 Cabot Rd Ste 103
Laguna Hills, CA 92653-5511
Phone
(949) 485-4835
NPI assigned
Jan 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012820 CA Primary

Addresses

Primary practice location

25301 Cabot Rd Ste 103
Laguna Hills, CA 92653-5511

Mailing address

25301 Cabot Rd Ste 103
Laguna Hills, CA 92653-5511
Phone (949) 485-4835

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
I20200430002112 CA Practitioner - Nurse Practitioner 1850640871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25301 Cabot Rd
Suite 103
Laguna Hills, CA 92653-5511
Phone (949) 200-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95012820CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careathome Medical Practice Ca PC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Direct Medical Ventures Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

600 Anton Blvd
Fl 11
Costa Mesa, CA 92626
Phone (714) 371-4115

25301 Cabot Rd
Ste 103
Laguna Hills, CA 92653
Phone (877) 381-4115

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": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1487012811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25301 CABOT RD STE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-485-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 CABOT RD STE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-485-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.