Active NPI
Leticia Garcia
- Specialist
- San Diego, CA
National Provider Identifier
1669850392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3340 Kemper St Ste 105
San Diego, CA 92110-4907 - Phone
- (619) 523-8121
- Fax
- (619) 523-8742
- NPI assigned
- May 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3340 Kemper St Ste 105
San Diego, CA 92110-4907
Mailing address
3340 Kemper St Ste 105
San Diego, CA 92110-4907
Phone (619) 523-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37378100 | Medicaid | CA |
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": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1669850392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 KEMPER ST STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104907",
"telephone_number": "619-523-8121",
"fax_number": "619-523-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 KEMPER ST STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104907",
"telephone_number": "619-523-8121",
"fax_number": "619-523-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37378100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.