Organization Active NPI

Nicole Garcia Medical, PC

Doing business as Yorba Linda Superior Physical Medicine

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1558601492
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A062657 Issued in CA
Legal business name
NICOLE GARCIA MEDICAL, PC
Doing business as
Yorba Linda Superior Physical Medicine
Practice address
22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819
Phone
(714) 692-7139
Fax
(714) 696-7766
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Kevin Lawrence Shaevitz, D.CNPI 1013023712
Title
President
Phone
(714) 692-7139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A062657 CA Primary

Addresses

Primary practice location

22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819

Mailing address

22224 La Palma Ave
Suite a
Yorba Linda, CA 92887-3819
Phone (714) 692-7139

Other names 1

  • Yorba Linda Superior Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

22224 La Palma Ave
Yorba Linda, CA 92887
Phone (714) 692-7138

22224 La Palma Ave
Ste A
Yorba Linda, CA 92887
Phone (714) 692-7138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1558601492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-692-7139",
            "fax_number": "714-696-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-692-7139",
            "fax_number": "714-696-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GARCIA MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAEVITZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-692-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A062657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorba Linda Superior Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.