Active NPI
Alisha Garcia, PA-C
- Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2014-0021
- Practice address
- 1100 Central Ave SE
PMG Emergency Medicine
Albuquerque, NM 87106-4930 - Phone
- (505) 841-1125
- Fax
- (505) 724-6543
- NPI assigned
- Mar 13, 2014
- Last updated
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | PA2014-0021 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
PMG Emergency Medicine
Albuquerque, NM 87106-4930
Mailing address
1100 Central Ave SE
PMG Emergency Medicine
Albuquerque, NM 87106-4930
Phone (505) 841-1125
Other names 1
- Alisha Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NJ, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 814-1995
2130 Eucalyptus Rd NE
Rio Rancho, NM 87144-7833
Phone (908) 663-2929
4410 Irving Blvd NW
Suite 300
Albuquerque, NM 87114-5951
Phone (505) 814-1995
4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898
515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
7200 Montgomery Blvd NE
Albuquerque, NM 87109-1510
Phone (505) 207-3421
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 71.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stationmd California PC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Stationmd Professional Corporation | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Sierra Vista Hospital | Past | Accepting new patients |
Locations
2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
Interoperability endpoints
- alisha.garcia.1@27050.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1790185577
-
- Emergency Medicine Physician
- Sacramento, CA
- NPI 1023831922
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Lincoln County Medical Center
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1720404833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"address_2": "PMG EMERGENCY MEDICINE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1125",
"fax_number": "505-724-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"address_2": "PMG EMERGENCY MEDICINE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1125",
"fax_number": "505-724-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ALISHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-13",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2014-0021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISHA",
"last_name": "CLARK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.