Individual provider Active NPI

Myra Garcia-Gonzalez, PSY.D., M.P.A.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1689919276
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28270 Issued in CA
Practice address
20101 Hamilton Ave Ste 155a
Torrance, CA 90502-1351
Phone
(213) 328-8700
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28270 CA Primary

Addresses

Primary practice location

20101 Hamilton Ave Ste 155a
Torrance, CA 90502-1351

Mailing address

8939 S Sepulveda Blvd
Ste. 110 #259
Westchester, CA 90045-1351
Phone (787) 463-7240

Other practice location 1

8939 S Sepulveda blvd
Ste. 110 #259
Westchester, CA 90045-1351
Phone (787) 463-7240

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

State licenses

LicenseStateTypeSpecialty
PSY28270CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1689919276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD",
            "address_2": "STE. 110 #259",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900451351",
            "telephone_number": "787-463-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 155A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021351",
            "telephone_number": "213-328-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8939 S Sepulveda blvd",
            "address_2": "Ste. 110 #259",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "CA",
            "postal_code": "900451351",
            "country_code": "US",
            "telephone_number": "787-463-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA-GONZALEZ",
        "first_name": "MYRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.