Individual provider Active NPI

Luz Pacheco Garcia, PAC

  • Medical Physician Assistant
  • Salinas, CA
National Provider Identifier
1740575687
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19567 Issued in CA
Practice address
335 Katherine Ave
Salinas, CA 93901-3176
Phone
(831) 751-6222
Fax
(831) 536-1845
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19567 CA Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

335 Katherine Ave
Salinas, CA 93901-3176

Mailing address

335 Katherine Ave
Salinas, CA 93901-3176
Phone (831) 751-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114000020 CA Practitioner - Physician Assistant 0446574891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonzales Medical Center IncGroup PAC ID 7012290836, 2 clinicians

Practice addresses (Care Compare)

133 4TH St
Gonzales, CA 93926-0676
Phone (831) 290-5100

PO Box
Suite 676
Gonzales, CA 93926-0676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19567CAMDAcupuncturist
PA19567CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients

Locations

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

Interoperability endpoints

  • Direct secure messaging: luzgarciapac@gmci-ca.direct.office.nextgen.com
  • Direct secure messaging: luz.garcia.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: gonzalesmedicalcenterinc.luzpachecogarcia@161939.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1740575687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "831-751-6222",
            "fax_number": "831-536-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "831-751-6222",
            "fax_number": "831-536-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LUZ",
        "middle_name": "PACHECO",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19567",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.