Alicia Garcia Rousskikh

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9866 Issued in CA

Practice address

1017 SW Morrison St Ste 400
Portland, OR 97205-2629

Phone

(971) 236-6558

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Oc Electrolysis & Skin Care

  • Specialist
  • Santa Ana, CA
  • NPI 1205507654
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1922879758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E MCFADDEN AVE STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054648",
            "telephone_number": "714-617-5463",
            "fax_number": "951-531-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052629",
            "telephone_number": "971-236-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 E McFadden Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927054648",
            "country_code": "US",
            "telephone_number": "714-617-5463",
            "fax_number": "951-531-9465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA ROUSSKIKH",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danna Paola Garcia Guaqueta, M.D.
• June Garcia Llana, CRNA
• Maryann Garcia Paz
• Karen Garcia Rodriguez
• Marefugio Garcia Rolon
• Christy Beth Garcia Santamaria, LMT
• Yanett Garcia-Chavez, RBAI
• Miriam Garcia-Perez
• Adriana Y Garcia
• Alex Garcia

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.