Individual provider Active NPI

Emilio E Garcia, DDS, PC

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1831276039
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33578 Issued in CA
Practice address
500 E Yosemite Ave
Madera, CA 93638-3342
Phone
(559) 673-1830
Fax
(559) 664-1776
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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 33578 CA Primary

Addresses

Primary practice location

500 E Yosemite Ave
Madera, CA 93638-3342

Mailing address

500 E Yosemite Ave
Madera, CA 93638-3342
Phone (559) 673-1830

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002876 CA Order and Referring Only - DentistPractitioner - Dentist 1951614387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33578CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1831276039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383342",
            "telephone_number": "559-673-1830",
            "fax_number": "559-664-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383342",
            "telephone_number": "559-673-1830",
            "fax_number": "559-664-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EMILIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.