Individual provider Active NPI

Daniella Ettasara Garcia, MD

  • Emergency Medicine Physician
  • Hemet, CA
National Provider Identifier
1912240771
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A160219 Issued in CA
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(951) 652-2811
NPI assigned
Mar 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A160219 CA Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

22 S Greene St
Department of Pediatrics
Baltimore, MD 21201-1544

Other practice location 1

22 S Greene St
Department of Pediatrics
Baltimore, MD 21201-1544
Phone (410) 328-6662

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416001239 CA Practitioner - Emergency Medicine 1254672488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

9080 Colima Rd
Whittier, CA 90605-1600
Phone (877) 346-2211

Hospital & facility affiliations

  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • Menifee Global Medical Center Hospital, Sun City, CA, CCN 050684
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160219CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jan 7, 2019 Accepting new patients
Los Robles Emergency Physicians Medical Group Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Feb 2, 2026 Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1912240771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Department of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DANIELLA",
        "middle_name": "ETTASARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A160219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.