Individual provider Active NPI

Tracy Denise Garcia, AMFT

  • Marriage & Family Therapist
  • Covina, CA
National Provider Identifier
1740598408
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF131504 Issued in CA
Practice address
801 W San Bernardino Rd
Covina, CA 91722-3621
Phone
(626) 541-0120
Fax
(951) 608-2624
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF131504 CA Primary
Marriage & Family Therapist 106H00000X IMF 63018 CA
Marriage & Family Therapist 106H00000X IMF91927 CA

Addresses

Primary practice location

801 W San Bernardino Rd
Covina, CA 91722-3621

Mailing address

12926 Merry Meadows Dr
Eastvale, CA 92880-8545
Phone (562) 706-4971

Other practice location 1

12926 Merry Meadows Dr
Eastvale, CA 92880-8545
Phone (562) 706-4971

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

LicenseStateTypeSpecialty
IMF 63018CAMDMarriage & Family Therapist
IMF131504CAMDMarriage & Family Therapist
IMF91927CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Family Centered Services Inc. CurrentSince Mar 31, 2024 Accepting new patients
Institute for Family Centered Services, Inc. PastSince Dec 1, 2023 Accepting new patients

Locations

801 W San Bernardino Rd
Covina, CA 91722
Phone (626) 541-0120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1740598408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12926 MERRY MEADOWS DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808545",
            "telephone_number": "562-706-4971",
            "fax_number": "714-953-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223621",
            "telephone_number": "626-541-0120",
            "fax_number": "951-608-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12926 Merry Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928808545",
            "country_code": "US",
            "telephone_number": "562-706-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TRACY",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF131504",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 63018",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF91927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.