Jerry S. Garcia, M.D., Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G86442 Issued in CA

Legal business name

JERRY S. GARCIA, M.D., INC

Practice address

1648 E Lincoln Ave
Anaheim, CA 92805-2222

Phone

(714) 535-4440

Fax

(714) 490-2089

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Steven Garcia, M.D.

Title

President

Phone

(714) 535-4440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1801215173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052222",
            "telephone_number": "714-535-4440",
            "fax_number": "714-490-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052222",
            "telephone_number": "714-535-4440",
            "fax_number": "714-490-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY S. GARCIA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G86442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Raymond Jensen
• Grace H. Jeon, M.D.
• Susanna Jeong
• Diane Jerng, MD
• Moe Jerrar, RCFE
• Esther Jesfen, MA
• Dania Jesri
• Janice I Jetton, NP
• Peggy Jeu
• Ji Son MD Corp

• Medical Specialty Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.