Individual provider Active NPI

Antonette - Garcia

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1487877338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A8455604 Issued in CA
Practice address
3042 Marshall Way
Sacramento, CA 95817-2735
Phone
(916) 451-6934
Fax
(916) 451-6934
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A8455604 CA Primary

Addresses

Primary practice location

3042 Marshall Way
Sacramento, CA 95817-2735

Mailing address

PO Box 188871
Sacramento, CA 95818-8871
Phone (916) 451-6934

Other identifiers 1

IdentifierTypeStateIssuer
3941646OtherCAKAISER NUMBER

Other names 1

  • Toni - Garcia Other name

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
A8455604CAMDAddiction (Substance Use Disorder) Counselor

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": "1487877338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188871",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958188871",
            "telephone_number": "916-451-6934",
            "fax_number": "916-451-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 MARSHALL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172735",
            "telephone_number": "916-451-6934",
            "fax_number": "916-451-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANTONETTE",
        "middle_name": "-",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A8455604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER NUMBER",
            "identifier": "3941646",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "GARCIA",
            "middle_name": "-",
            "credential": "CADC-II, CSAC-II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.