Active NPI
Melissa Ann Garcia, PA-C
- Physician Assistant
- Newport Beach, CA
National Provider Identifier
1831669183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59755
- Practice address
- 520 Superior Ave Ste 335
Newport Beach, CA 92663-3672 - Phone
- (949) 236-7900
- NPI assigned
- Nov 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59755 | CA | Primary |
Addresses
Primary practice location
520 Superior Ave Ste 335
Newport Beach, CA 92663-3672
Mailing address
421 Bernard St Apt 228
Costa Mesa, CA 92627-5786
Phone (562) 519-5655
Other practice location 1
2 Hughes Ste 150
Irvine, CA 92618-2036
Phone (562) 519-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208748208 | Other | CA | OTHER INS |
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 |
|---|---|---|---|
| 59755 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1831669183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 BERNARD ST APT 228",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926275786",
"telephone_number": "562-519-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 335",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633672",
"telephone_number": "949-236-7900"
}
],
"practiceLocations": [
{
"address_1": "2 Hughes Ste 150",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926182036",
"country_code": "US",
"telephone_number": "562-519-5655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2022-03-07",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INS",
"identifier": "208748208",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.