Active NPI
Daniella Ettasara Garcia, MD
- Emergency Medicine Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A160219
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Menifee Global Medical Center
- Garfield Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160219 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Apex Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Los Robles Emergency Physicians Medical Group | Emergency Medicine | Current | Accepting new patients |
| Gem Medical Group Corporation | Emergency Medicine | Current | Accepting new patients |
| Seven Star Hospital Associates Inc. | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1689364721
-
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
- Emergency Medicine Physician
- Thousand Oaks, CA
- NPI 1417983552
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1144823246
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Hemet, CA
- NPI 1114239068
-
- General Acute Care Hospital
- Sun City, CA
- NPI 1467764308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.