Active NPI
Rodrigo Enrique Garcia Tome, M.D.
- Pulmonary Disease Physician
- Santa Monica, CA
National Provider Identifier
1700291804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A155205
- Practice address
- 1223 16TH St Ste 3400
Santa Monica, CA 90404-1279 - Phone
- (310) 449-0939
- NPI assigned
- Jun 26, 2014
- Last updated
- Aug 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | A155205 | CA | Primary |
Addresses
Primary practice location
1223 16TH St Ste 3400
Santa Monica, CA 90404-1279
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8771
Other practice location 1
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (954) 681-5926
Other practice location 2
200 Ucla Medical Plz Ste 365B
Los Angeles, CA 90095-1716
Phone (310) 825-7921
Other names 1
- Rodrigo Enrique Garcia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155205 | CA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1700291804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 16TH ST STE 3400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041279",
"telephone_number": "310-449-0939"
}
],
"practiceLocations": [
{
"address_1": "1111 Amsterdam Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251716",
"country_code": "US",
"telephone_number": "954-681-5926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Ucla Medical Plz Ste 365B",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900951716",
"country_code": "US",
"telephone_number": "310-825-7921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA TOME",
"first_name": "RODRIGO",
"middle_name": "ENRIQUE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-26",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A155205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RODRIGO",
"last_name": "GARCIA",
"middle_name": "ENRIQUE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.