Selena Alicia Garcia, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86291702 Issued in CA

Practice address

1287 Fulton Rd
Santa Rosa, CA 95401-4923

Phone

(877) 717-0085

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1689280810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 MENDOCINO AVE APT 59",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013653",
            "telephone_number": "707-934-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 FULTON RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014923",
            "telephone_number": "877-717-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SELENA",
        "middle_name": "ALICIA",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "CA",
            "license": "86291702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Garcia
• Luis E Garcia, PA
• Marco Antonio Garcia
• Maria Estel Garcia
• Sandra Louise Garcia, LMFT
• Vanessa Adine Garcia
• Valerie Sondra Garden, M.D.
• Dave Gardner
• Ellen Marie Gardner
• Rachel Maria Gardner, PSY.D.

• Registered Dietetic Technician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Dietetic Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.