Individual provider Active NPI

Richard Robert Garcia

  • Clinical Social Worker
  • Chula Vista, CA
National Provider Identifier
1881198554
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28742 Issued in CA
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

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213002505 CA Practitioner - Clinical Social Worker 1254682578 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center CurrentSince Jul 30, 2024 Accepting new patients
Indian Health Council, Inc CurrentSince Sep 29, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.