Individual provider Active NPI

Jon Patrick Garcia David, NP-C

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1811392871
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95001244 Issued in CA
Practice address
9233 W Pico Blvd Ste 230
Los Angeles, CA 90035-1385
Phone
(310) 356-8146
Fax
(310) 356-8142
NPI assigned
Nov 1, 2014
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001244 CA
Gerontology Nurse Practitioner 363LG0600X 95001244 CA Primary

Addresses

Primary practice location

9233 W Pico Blvd Ste 230
Los Angeles, CA 90035-1385

Mailing address

16911 San Fernando Mission Blvd # 398
Granada Hills, CA 91344-4250
Phone (626) 818-6343

Other practice location 1

9335 Reseda Blvd
Northridge, CA 91324-2968
Phone (818) 349-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001680 CA Practitioner - Nurse Practitioner 8426355355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care Doctors Group, IncGroup PAC ID 6305092768, 10 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians
Senior Doc Integrated Med PCGroup PAC ID 3375990286, 15 clinicians

Practice addresses (Care Compare)

1700 Westwood Blvd
Los Angeles, CA 90024-5608
Phone (310) 475-4865

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8744
Phone (855) 434-7763

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince May 16, 2025 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Apr 5, 2026 Accepting new patients
Sharwin Tafazoli Inc CurrentSince Feb 1, 2022 Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Nov 1, 2017 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Vahid Mahabadi, MD., Inc PastSince Mar 1, 2021 Accepting new patients

Locations

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 234-6600

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1811392871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16911 SAN FERNANDO MISSION BLVD # 398",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "626-818-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 W PICO BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351385",
            "telephone_number": "310-356-8146",
            "fax_number": "310-356-8142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9335 Reseda Blvd",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913242968",
            "country_code": "US",
            "telephone_number": "818-349-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JON PATRICK",
        "middle_name": "GARCIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001244",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95001244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.