Active NPI
Sea Breeze Health Center Inc
- Primary Care Clinic/Center
- Wilmington, CA
National Provider Identifier
1750541322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A53218
- Legal business name
- SEA BREEZE HEALTH CENTER INC
- Practice address
- 123 E F St Unit F
Wilmington, CA 90744-5817 - Phone
- (310) 830-6500
- Fax
- (310) 830-6505
- NPI assigned
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gayda Y Garcia, M.D.
- Title
- Medical Doctor
- Phone
- (310) 830-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A53218 | CA | Primary |
Addresses
Primary practice location
123 E F St Unit F
Wilmington, CA 90744-5817
Mailing address
123 E F St Unit F
Wilmington, CA 90744-5817
Phone (310) 830-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A532180 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
123 E F St
#F
Wilmington, CA 90744
Phone (310) 830-6500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Wilmington, CA
- NPI 1336243724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1750541322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E F ST UNIT F",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907445817",
"telephone_number": "310-830-6500",
"fax_number": "310-830-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E F ST UNIT F",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907445817",
"telephone_number": "310-830-6500",
"fax_number": "310-830-6505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA BREEZE HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "GAYDA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "310-830-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A53218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A532180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.