Active NPI
Jigger Occena Garcia, NP-C
- Family Nurse Practitioner
- Pontiac, MI
National Provider Identifier
1629529409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704277212
- Practice address
- 50 N Perry St
Fadi Salloum, MD, PC
Pontiac, MI 48342-2217 - Phone
- (248) 338-5516
- Fax
- (248) 338-5547
- NPI assigned
- Oct 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704277212 | MI | Primary |
Addresses
Primary practice location
50 N Perry St
Fadi Salloum, MD, PC
Pontiac, MI 48342-2217
Mailing address
32050 Shadywood Dr
Chesterfield, MI 48047-4575
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemed Consultants PLLC | Past | Accepting new patients |
Interoperability endpoints
- jgarcia728125@direct.hfhs.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1699398347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1629529409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32050 SHADYWOOD DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"address_2": "FADI SALLOUM, MD, PC",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5516",
"fax_number": "248-338-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JIGGER",
"middle_name": "OCCENA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704277212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.