Active NPI
Grant Patrick Garcia, MD
- Student in an Organized Health Care Education/Training Program
- Pomona, CA
National Provider Identifier
1750131173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PTL15051
- Practice address
- 1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027 - Phone
- (909) 469-9494
- Fax
- (909) 469-2120
- NPI assigned
- Mar 26, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PTL15051 | CA | Primary |
Addresses
Primary practice location
1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Mailing address
107 Green Hill Pkwy
Worcester, MA 01605-2515
Phone (909) 222-7169
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028001995 | CA | Order and Referring Only - Family Practice | 5991238057 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL15051 | CA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- grant.garcia.p3@direct.parktreechc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1750131173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GREEN HILL PKWY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052515",
"telephone_number": "909-222-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 N ORANGE GROVE AVE STE 101",
"city": "POMONA",
"state": "CA",
"postal_code": "917673027",
"telephone_number": "909-469-9494",
"fax_number": "909-469-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "GRANT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-26",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "PTL15051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.