Active NPI
Sam Adam Garcia
- Case Manager/Care Coordinator
- Anchorage, AK
National Provider Identifier
1700411626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3149 Mountain View Dr
Anchorage, AK 99501-3106 - Phone
- (907) 793-3629
- NPI assigned
- Mar 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3149 Mountain View Dr
Anchorage, AK 99501-3106
Mailing address
9801 Grange Dr Apt 4
Anchorage, AK 99515-4235
Phone (907) 268-1893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02505 | Medicaid | AK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RSCMS | ||
| Direct Messaging Address | sagarcia@citci.org |
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": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1700411626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 GRANGE DR APT 4",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995154235",
"telephone_number": "907-268-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3149 MOUNTAIN VIEW DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013106",
"telephone_number": "907-793-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "SAM",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02505",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RSCMS",
"affiliation": "N",
"endpointDescription": "Electrionic health record",
"address_1": "3149 Mountain View Dr",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995013106",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sagarcia@citci.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "3149 Mountain View Dr",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995013106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.