Active NPI
Marylou Marie Garcia, DC
- Chiropractor
- Tustin, CA
National Provider Identifier
1700540176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36167
- Practice address
- 2472 Chambers Rd Ste 120
Tustin, CA 92780-6954 - Phone
- (626) 222-2556
- NPI assigned
- Oct 22, 2021
- Last updated
- Oct 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36167 | CA | Primary |
Addresses
Primary practice location
2472 Chambers Rd Ste 120
Tustin, CA 92780-6954
Mailing address
516 N Osborn Ave
West Covina, CA 91790-1834
Phone (626) 222-2556
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Garcia Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Locations
2472 Chambers Rd
Ste 120
Tustin, CA 92780
Phone (626) 222-2556
Organizations & group practices 1
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": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1700540176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 N OSBORN AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901834",
"telephone_number": "626-222-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 CHAMBERS RD STE 120",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806954",
"telephone_number": "626-222-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MARYLOU",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.