Individual provider Active NPI

Carlos F Garcia, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1811021728
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54256 Issued in CA
Practice address
1270 Picador Blvd Ste L&M
San Diego, CA 92154-3565
Phone
(619) 690-9318
Fax
(619) 690-9318
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54256 CA Primary

Addresses

Primary practice location

1270 Picador Blvd Ste L&M
San Diego, CA 92154-3565

Mailing address

1270 Picador Blvd Ste L&M
San Diego, CA 92154-3565
Phone (619) 690-9318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54256CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia Dental Inc Past Accepting new patients

Organizations & group practices 1

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1811021728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PICADOR BLVD STE L&M",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543565",
            "telephone_number": "619-690-9318",
            "fax_number": "619-690-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PICADOR BLVD STE L&M",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543565",
            "telephone_number": "619-690-9318",
            "fax_number": "619-690-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.