Veniel Garza, DO
Individual provider Active NPI Family Medicine Physician · Othello, WA
NPI 1497214209 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1497214209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP61182803 (WA)
- Practice address
- 1515 E Columbia St
Othello, WA 99344-1846 - Phone
- (509) 488-5250
- Fax
- (509) 488-9939
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Basin Health Association
Practice addresses (Care Compare)
1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512
Hospital & facility affiliations
- Othello Community Hospital
- Kadlec Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617000488 | WA | Practitioner - Family Practice |
6709265960 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Current |
Accepting new patients | |
| Columbia Basin Health Association | Family Medicine | Current |
Accepting new patients |
| Adams County Public Hospital District 3 | Past | Accepting new patients |
Locations
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
475 N 14th Ave
Othello, WA 99344
Phone (425) 823-4000
Interoperability endpoints
- vgarza450413@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OP61182803 | WA | |
| Family Medicine Physician | 207Q00000X | OP61182803 | WA | Yes |
Addresses
Primary practice location
1515 E Columbia St
Othello, WA 99344-1846
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5250
Other practice location 1
601 Government Rd
Mattawa, WA 99349-5120
Phone (509) 488-5250 ext. 8512
Other practice location 2
1051 Columbia Ave
Connell, WA 99326-8702
Phone (509) 488-5250 ext. 8512
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP61182803 | Other | WA | DOH LICENSE |
Other providers in Othello, WA
- Mistinique J Fuller
- Laurie Gadbois
- Leo Gaeta
- Aylin Garcia
- Elsie Aileen Garza
- Lance Derek Gerber
- Sterling Gerber
- Christine Getz
- Sudeshna Ghale
- Alexandra Claire Gilbert
All providers in Othello, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.