Individual provider Active NPI

Bruno Garcia, M.D.

  • Family Medicine Physician
  • Selma, CA
National Provider Identifier
1497778260
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63644 Issued in CA
Practice address
1041 Rose Ave
Selma, CA 93662-3240
Phone
(559) 783-1181
Fax
(559) 783-2084
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63644 CA Primary

Addresses

Primary practice location

1041 Rose Ave
Selma, CA 93662-3240

Mailing address

600 N Piedra Rd
Sanger, CA 93657-9527
Phone (559) 783-1181

Other identifiers 1

IdentifierTypeStateIssuer
00A636440MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823001482 CA Order and Referring Only - Family PracticePractitioner - Family Practice 1850312679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63644CAMDPharmacist
A63644CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Community Hospital Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bruno.garcia.1@17661.direct.athenahealth.com
  • Direct secure messaging: bruno.garcia.p1@direct.omnifamilyhealth.nextgenshare.com

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1497778260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PIEDRA RD",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579527",
            "telephone_number": "559-783-1181",
            "fax_number": "559-783-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623240",
            "telephone_number": "559-783-1181",
            "fax_number": "559-783-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BRUNO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A636440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.