Organization Active NPI

Saint Mary'S College of California

  • Family Nurse Practitioner
  • Moraga, CA
National Provider Identifier
1750716221
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23548 Issued in CA
Legal business name
SAINT MARY'S COLLEGE OF CALIFORNIA
Practice address
1928 Saint Marys Rd
Moraga, CA 94556-2715
Phone
(925) 457-2050
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Rachel Garcia
Title
Nurse Practitioner
Phone
(925) 457-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 23548 CA Primary

Addresses

Primary practice location

1928 Saint Marys Rd
Moraga, CA 94556-2715

Mailing address

487 Fairbanks Ave
Oakland, CA 94610-1507
Phone (925) 457-2050

National Provider Directory

National Provider Directory

Locations

1928 Saint Marys Rd
Moraga, CA 94556
Phone (925) 457-2050

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1750716221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 FAIRBANKS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101507",
            "telephone_number": "925-457-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 SAINT MARYS RD",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562715",
            "telephone_number": "925-457-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S COLLEGE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "925-457-2050"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.