Individual provider Active NPI

Karla N Garcia Portalatin, DC

  • Chiropractor
  • Columbus, IN
National Provider Identifier
1760094692
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003180A Issued in IN
Practice address
1405 Washington St
Columbus, IN 47201-5725
Phone
(812) 373-3376
Fax
(812) 373-7977
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003180A IN Primary

Addresses

Primary practice location

1405 Washington St
Columbus, IN 47201-5725

Mailing address

1405 Washington St
Columbus, IN 47201-5725
Phone (812) 373-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902001542 CA Practitioner - Chiropractic 8224455357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36122CAMDClinical Psychologist
08003180AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc CurrentSince Jul 12, 2021 Accepting new patients
Community Medical Centers Inc CurrentSince Jul 12, 2021 Accepting new patients

Locations

1801 E March Ln
Ste D470
Stockton, CA 95210
Phone (209) 507-7000

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: karla.garciaportalatin.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1760094692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015725",
            "telephone_number": "812-373-3376",
            "fax_number": "812-373-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015725",
            "telephone_number": "812-373-3376",
            "fax_number": "812-373-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PORTALATIN",
        "first_name": "KARLA",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003180A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.