Active NPI
Prairie Garcia
- Case Manager/Care Coordinator
- Santa Cruz, CA
National Provider Identifier
1497972038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1400 Emeline Ave
Santa Cruz, CA 95060-1976 - Phone
- (831) 454-4170
- Fax
- (831) 454-4663
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Mailing address
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70042F | Other | CA | COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN# |
| FHC70044F | Other | CA | COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN# |
Other names 1
- Prairie Mertsching
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1497972038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PRAIRIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN#",
"identifier": "FHC70042F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN#",
"identifier": "FHC70044F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRAIRIE",
"last_name": "MERTSCHING",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.