Individual provider Active NPI

Jose Antonio Garcia, DO

  • Family Medicine Physician
  • Gustine, CA
National Provider Identifier
1982353033
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A21808 Issued in CA
Practice address
581 4TH Ave
Gustine, CA 95322-1143
Phone
(209) 854-1120
NPI assigned
Mar 23, 2022
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A21808 CA Primary

Addresses

Primary practice location

581 4TH Ave
Gustine, CA 95322-1143

Mailing address

549 Crow Hill Dr
Newman, CA 95360-9537
Phone (209) 585-6418

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017001825 CA Practitioner - Family Practice 6204323645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose a Garcia DO Medical Professional CorporationGroup PAC ID 5395232730, 2 clinicians

Practice addresses (Care Compare)

581 4TH Ave
Gustine, CA 95322-1143
Phone (209) 854-1120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A21808CAMDFamily Medicine Physician
21808CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a Garcia DO Medical Professional Corporation Family Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

581 4th Ave
Gustine, CA 95322
Phone (209) 854-1120

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jgarcia77806@valleychildrens-prd.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1982353033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 CROW HILL DR",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953609537",
            "telephone_number": "209-585-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 4TH AVE",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221143",
            "telephone_number": "209-854-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gustine, CA

Sources for this page

Verify at the official NPI Registry.