Angel Gomez Garcia, M.D.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A052635 Issued in CA

Practice address

3531 Federal Ave
Los Angeles, CA 90066-2810

Phone

(949) 343-4911

Fax

(714) 771-8481

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beverly Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1932520590
  NPD

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1871777276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 FEDERAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662810",
            "telephone_number": "949-343-4911",
            "fax_number": "714-771-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 FEDERAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662810",
            "telephone_number": "949-343-4911",
            "fax_number": "714-771-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANGEL",
        "middle_name": "GOMEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A052635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "95-4799597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jesse Garcia, MD, PHARMD
• Andrew L. Garcia
• Andros Garcia
• Andy Garcia
• Angel Garcia, LCSW
• Angela Garcia, M.S AMFT
• Angela Stephany Garcia, MSW, PPSC
• Angelica Garcia
• Angelina Garcia
• Angelina Duenas Garcia, MSW

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.