Individual provider Active NPI

Carley Garnica, FNP, CPNP

  • Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1942003165
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032778 Issued in CA
Practice address
13311 Garden Grove Blvd Ste 200
Garden Grove, CA 92843-2202
Phone
(714) 621-0327
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032778 CA Primary

Addresses

Primary practice location

13311 Garden Grove Blvd Ste 200
Garden Grove, CA 92843-2202

Mailing address

5590 Avenida del Tren
Yorba Linda, CA 92887-4901

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000218 CA Practitioner - Nurse Practitioner 7113418005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Physical Medicine and Rehabilitation IncGroup PAC ID 7618381187, 6 clinicians
Advanced Joint and Spine Medical Center IncGroup PAC ID 2163765298, 11 clinicians

Practice addresses (Care Compare)

17264 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 650-1228

2029 W Orangewood Ave
Suite a
Orange, CA 92868-1951
Phone (714) 921-1546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032778CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Physical Medicine and Rehabilitation Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1942003165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 AVENIDA DEL TREN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 GARDEN GROVE BLVD STE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432202",
            "telephone_number": "714-621-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNICA",
        "first_name": "CARLEY",
        "credential": "FNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.