Active NPI
Richard Robert Garcia
- Clinical Social Worker
- Chula Vista, CA
National Provider Identifier
1881198554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28742
- Practice address
- 2471 Myrtle Beach Way
Chula Vista, CA 91915-2150 - Phone
- (619) 254-1710
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28742 | CA | Primary |
Addresses
Primary practice location
2471 Myrtle Beach Way
Chula Vista, CA 91915-2150
Mailing address
2471 Myrtle Beach Way
Chula Vista, CA 91915-2150
Phone (619) 254-1710
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego American Indian Health Center | Current | Accepting new patients | |
| Indian Health Council, Inc | Current | Accepting new patients |
Locations
2602 1st Ave
Ste 105
San Diego, CA 92103
2630 1st Ave
Ste 209
San Diego, CA 92103
2630 1st Ave
Ste 204
San Diego, CA 92103
2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158
50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFGCCD
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.
-
- Federally Qualified Health Center (FQHC)
- Valley Center, CA
- NPI 1861449522
-
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
- NPI 1003902917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1881198554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 MYRTLE BEACH WAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152150",
"telephone_number": "619-254-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 MYRTLE BEACH WAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152150",
"telephone_number": "619-254-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RICHARD",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.