Active NPI
Sara Rocio Garcia
- Clinical Psychologist
- Rancho Cucamonga, CA
National Provider Identifier
1811440142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34548
- Practice address
- 10300 4TH St
Rancho Cucamonga, CA 91730-5808 - Phone
- (800) 434-8923
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94026603 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 34548 | CA | Primary |
Addresses
Primary practice location
10300 4TH St
Rancho Cucamonga, CA 91730-5808
Mailing address
10300 4TH St
Rancho Cucamonga, CA 91730-5808
Phone (800) 434-8923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811440142 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Email@behavioralhealthadminstration.gov |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34548 | CA | MD | Clinical Psychologist |
| PSB94026603 | CA | MD | Clinical Psychologist |
Interoperability endpoints
- email@behavioralhealthadminstration.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1811440142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 4TH ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305808",
"telephone_number": "800-434-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 4TH ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305808",
"telephone_number": "800-434-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "SARA",
"middle_name": "ROCIO",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94026603",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811440142",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Email@behavioralhealthadminstration.gov",
"affiliation": "N",
"endpointDescription": "Still need to get email",
"address_1": "1270 Natividad Rd",
"city": "Salinas",
"state": "CA",
"country_code": "US",
"postal_code": "939063144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.