Individual provider Active NPI

Octavio Javier Garcia Sr., MD

  • Surgical Critical Care Physician
  • Corpus Christi, TX
National Provider Identifier
1588752380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
E8498 Issued in TX
Practice address
822 Kinney St
Corpus Christi, TX 78401-3006
Phone
(361) 883-1405
Fax
(361) 883-1406
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X E8498 TX Primary

Addresses

Primary practice location

822 Kinney St
Corpus Christi, TX 78401-3006

Mailing address

822 Kinney St
Corpus Christi, TX 78401-3006
Phone (361) 883-1405

Other names 1

  • Octavio Javier Garcia Sr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000586 TX Practitioner - General Surgery 7719949247 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E8498TXMDSurgical Critical Care Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588752380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KINNEY ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013006",
            "telephone_number": "361-883-1405",
            "fax_number": "361-883-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KINNEY ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013006",
            "telephone_number": "361-883-1405",
            "fax_number": "361-883-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "OCTAVIO",
        "middle_name": "JAVIER",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "E8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OCTAVIO",
            "last_name": "GARCIA",
            "middle_name": "JAVIER",
            "suffix": "SR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.