Active NPI
Saint Mary'S College of California
- Family Nurse Practitioner
- Moraga, CA
National Provider Identifier
1750716221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23548
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.