Active NPI
Joseph Henry Garland III, MBA
- Community/Behavioral Health Agency
- Gardena, CA
National Provider Identifier
1740813963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 400 W Redondo Beach Blvd Ste C
Gardena, CA 90248-2149 - Phone
- (888) 624-4462
- NPI assigned
- Feb 17, 2020
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
400 W Redondo Beach Blvd Ste C
Gardena, CA 90248-2149
Mailing address
PO Box 1314
Glendora, CA 91740-1314
Phone (630) 220-5308
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgarland@centennialharvestgroup.com |
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
- Credentials
- Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1740813963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1314",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917401314",
"telephone_number": "630-220-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W REDONDO BEACH BLVD STE C",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482149",
"telephone_number": "888-624-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "JOSEPH",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-17",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgarland@centennialharvestgroup.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"address_1": "400 W Redondo Beach Blvd Ste C",
"city": "Gardena",
"state": "CA",
"country_code": "US",
"postal_code": "902482149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.