Russell Garcia, D.C.
Individual provider Active NPI Chiropractor · Larkspur, CA
NPI 1962594564 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962594564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC 29052 (CA)
- Practice address
- 1017 Larkspur Landing Cir
Larkspur, CA 94939-1725 - Phone
- (415) 925-1111
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29052 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 29052 | CA | Yes |
Addresses
Primary practice location
1017 Larkspur Landing Cir
Larkspur, CA 94939-1725
Mailing address
1017 Larkspur Landing Cir
Larkspur, CA 94939-1725
Phone (415) 925-1111
Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.