Active NPI
Edward Garcia, AU.D.
- Audiologist
- Montebello, CA
National Provider Identifier
1487877239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1570
- Practice address
- 2455 W Whittier Blvd
Montebello, CA 90640-3040 - Phone
- (323) 725-8135
- Fax
- (323) 725-8138
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1570 | CA | Primary |
Addresses
Primary practice location
2455 W Whittier Blvd
Montebello, CA 90640-3040
Mailing address
PO Box 1258
Monterey Park, CA 91754-8258
Phone (323) 725-8135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516001047 | CA | Practitioner - Qualified Audiologist | 6507807914 | Practice locations: Huntington PK, CA; Montebello, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2613 Saturn Ave
Huntington Park, CA 90255-4129
Phone (323) 588-3508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487877239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917548258",
"telephone_number": "323-725-8135",
"fax_number": "323-725-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403040",
"telephone_number": "323-725-8135",
"fax_number": "323-725-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.