Active NPI
Marysol Garcia
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1538622444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3756 Santa Rosalia Dr Ste 628
Los Angeles, CA 90008-3606 - Phone
- (323) 293-8771
- Fax
- (323) 293-8770
- NPI assigned
- Apr 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3756 Santa Rosalia Dr Ste 628
Los Angeles, CA 90008-3606
Mailing address
585 Hyde Park PL
Inglewood, CA 90302-1601
Phone (424) 223-2339
Other practice location 1
5755 Oberlin Dr Ste 300
San Diego, CA 92121-4717
Phone (800) 249-1266
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": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1538622444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 HYDE PARK PL",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903021601",
"telephone_number": "424-223-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 628",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083606",
"telephone_number": "323-293-8771",
"fax_number": "323-293-8770"
}
],
"practiceLocations": [
{
"address_1": "5755 Oberlin Dr Ste 300",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921214717",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "MARYSOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.