Individual provider Active NPI

Toribio R Garcia, M.D., MBA, RPH

  • Pediatric Adolescent Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1518095066
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G8122 Issued in TX
Practice address
4707 Everhart Rd
Ste 104B
Corpus Christi, TX 78411-2792
Phone
(361) 851-0333
Fax
(361) 851-5160
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X G8122 TX Primary

Addresses

Primary practice location

4707 Everhart Rd
Ste 104B
Corpus Christi, TX 78411-2792

Mailing address

13501 Carlos Fifth CT
Corpus Christi, TX 78418-6913
Phone (361) 949-9379

Other identifiers 1

IdentifierTypeStateIssuer
133212404MedicaidTX

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)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
G8122TXMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Padre Island Pediatric Clinic PA Past Accepting new patients
South Padre Island Pediatric Center Past Accepting new patients

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1518095066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 CARLOS FIFTH CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186913",
            "telephone_number": "361-949-9379",
            "fax_number": "361-851-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EVERHART RD",
            "address_2": "STE 104B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112792",
            "telephone_number": "361-851-0333",
            "fax_number": "361-851-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TORIBIO",
        "middle_name": "R",
        "credential": "M.D., MBA, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "G8122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133212404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.