Individual provider Active NPI

Elena B Garcia, M.D.

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1699771204
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11464 Issued in NV
Practice address
366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287
Phone
(702) 359-5210
Fax
(702) 997-0475
NPI assigned
Jun 28, 2005
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11464 NV Primary

Addresses

Primary practice location

366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287

Mailing address

10120 W Flamingo Rd Ste 4-142
Las Vegas, NV 89147-8392
Phone (702) 739-9555

Other practice location 1

3140 S Durango Dr Ste 100B
Las Vegas, NV 89117-9190
Phone (702) 273-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051216000649 NV Practitioner - Family Practice 6800817818 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher S Choi MD a Prof Corp CurrentSince Dec 18, 2023 Accepting new patients
Shabnam Darbari MD PC Past Accepting new patients

Locations

4035 S El Capitan Way
Ste 100
Las Vegas, NV 89147
Phone (702) 463-8080

Interoperability endpoints

  • Direct secure messaging: elena.garcia.1@15442.direct.athenahealth.com
  • Direct secure messaging: elena.garcia@285752635686916.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1699771204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W FLAMINGO RD STE 4-142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478392",
            "telephone_number": "702-739-9555",
            "fax_number": "702-739-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 W LAKE MEAD PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157287",
            "telephone_number": "702-359-5210",
            "fax_number": "702-997-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 S Durango Dr Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179190",
            "country_code": "US",
            "telephone_number": "702-273-3680",
            "fax_number": "702-800-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ELENA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.