Active NPI
Jennifer Garcia
- Social Worker
- Pomona, CA
National Provider Identifier
1811533052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW91504
- Practice address
- 30 Country Wood Dr
Pomona, CA 91766-4818 - Phone
- (909) 623-3400
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | F7273627 | CA | |
| Social Worker | 104100000X | ASW91504 | CA | Primary |
Addresses
Primary practice location
30 Country Wood Dr
Pomona, CA 91766-4818
Mailing address
Heritage Group Homes Inc
158 Gentry Street
Pomona, CA 91768
Phone (909) 599-8222
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 |
|---|---|---|---|
| F7273627 | CA | MD | Mental Health Counselor |
| ASW91504 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Group Homes, Inc. | Past | Accepting new patients | |
| Heritage Group Homes Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1346804432
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Phillips Ranch, CA
- NPI 1013469881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1811533052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HERITAGE GROUP HOMES INC",
"address_2": "158 GENTRY STREET",
"city": "POMONA",
"state": "CA",
"postal_code": "91768",
"telephone_number": "909-599-8222",
"fax_number": "909-599-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 COUNTRY WOOD DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917664818",
"telephone_number": "909-623-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-22",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "F7273627",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW91504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.