Active NPI
Michelle Nieves Garcia, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1952396392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16053
- Practice address
- 3838 Sherman Dr
Suite # 203
Riverside, CA 92503-4001 - Phone
- (951) 785-6767
- Fax
- (951) 785-6783
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16053 | CA | Primary |
Addresses
Primary practice location
3838 Sherman Dr
Suite # 203
Riverside, CA 92503-4001
Mailing address
3838 Sherman Dr
Suite # 203
Riverside, CA 92503-4001
Phone (951) 785-6767
Other names 1
- Michelle N Garcia Reyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16053 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1952396392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE # 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-785-6767",
"fax_number": "951-785-6783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE # 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-785-6767",
"fax_number": "951-785-6783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MICHELLE",
"middle_name": "NIEVES",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "GARCIA REYES",
"middle_name": "N",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.