Active NPI
Jonathan Garcia
- Behavior Technician
- Palmdale, CA
National Provider Identifier
1710478870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BC0005570
- Practice address
- 624 Commerce Ave Ste E
Palmdale, CA 93551-3883 - Phone
- (661) 942-9135
- NPI assigned
- May 24, 2018
- Last updated
- May 24, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BC0005570 | CA | Primary |
Addresses
Primary practice location
624 Commerce Ave Ste E
Palmdale, CA 93551-3883
Mailing address
16946 Sherman Way
Van Nuys, CA 91406-3613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC0005570 | Other | CA | ABA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BC0005570 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Past | Accepting new patients |
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": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1710478870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16946 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 COMMERCE AVE STE E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513883",
"telephone_number": "661-942-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BC0005570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABA",
"identifier": "BC0005570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.