Active NPI
Georgina De la Garza
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60943336
- Practice address
- 120 W Mission Ave
Spokane, WA 99201-2358 - Phone
- (509) 326-4343
- Fax
- (509) 329-2280
- NPI assigned
- Jun 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TL0006289 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | MD60943336 | WA | |
| Family Medicine Physician | 207Q00000X | MD60943336 | WA | Primary |
Addresses
Primary practice location
120 W Mission Ave
Spokane, WA 99201-2358
Mailing address
120 W Mission Ave
Spokane, WA 99201-2358
Phone (509) 326-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 N Pines Rd
Spokane Valley, WA 99206-4939
Phone (509) 893-8140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL0006289 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
1212 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 474-5445
Interoperability endpoints
- gdelagarza438206@direct.multicare.org
- gdelagarza30031@yvfwc.direct-ci.com
- gdelagarza2596362@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Family Medicine
-
- General Practice Physician
- Spokane, WA
- NPI 1306391446
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1265789820
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1528298262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1518316611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W MISSION AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012358",
"telephone_number": "509-326-4343",
"fax_number": "509-329-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W MISSION AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012358",
"telephone_number": "509-326-4343",
"fax_number": "509-329-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA GARZA",
"first_name": "GEORGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "TL0006289",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60943336",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60943336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.