Active NPI
Guadalupe Manuel Garcia, DDS
- Dentist
- Delano, CA
National Provider Identifier
1821023284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24017
- Practice address
- 3000 W Cecil Ave
Kern Valley State Prison
Delano, CA 93216-6000 - Phone
- (661) 721-6300
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24017 | CA | Primary |
Addresses
Primary practice location
3000 W Cecil Ave
Kern Valley State Prison
Delano, CA 93216-6000
Mailing address
4429 W Nicholas Ave
Visalia, CA 93291
Phone (559) 625-1380
Other names 1
- Manual Garcia
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821023284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 W NICHOLAS AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-625-1380",
"fax_number": "559-627-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 W CECIL AVE",
"address_2": "KERN VALLEY STATE PRISON",
"city": "DELANO",
"state": "CA",
"postal_code": "932166000",
"telephone_number": "661-721-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "GUADALUPE",
"middle_name": "MANUEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "24017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANUAL",
"last_name": "GARCIA",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Delano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.