JACQUELINE GARCIA (NPI# 1689192957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689192957 |
| Entity Type | Individual |
| Full Name | JACQUELINE GARCIA |
| Practice Address |
1125 W 6th St Ste 103 Los Angeles CA 90017 |
| Mailing Address |
1125 W 6th St Ste 103 Los Angeles CA 90017-1896 |
| Practice Telephone | 2132023970 |
| Practice Fax Number | 2132023977 |
| Mailing Telephone | 2132023970 |
| Mailing Fax Number | 2132023977 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7068 | 05 | |
| CA | 7420 | 05 | |
| CA | 6758 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12450 Van Nuys Blvd Ste 200, Pacoima, CA 913311393 | (818) 896-1161 | 8188965069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013481605 | Jacqueline Garcia | Licensed Vocational Nurse | 3400 Uvalde Ave, Mcallen, TX 78503-8304 | 2019-01-16 |
| 1881044618 | Jacqueline Garcia | Behavioral Analyst | 15369 Sw 71st Ter, Miami, FL 33193-1657 | 2016-06-13 |
| 1841649308 | Jacqueline Garcia | Behavior Technician | 5924 Sw 4th St, Miami, FL 33144-3325 | 2016-06-06 |
| 1841664885 | Jacqueline Garcia | Substance Abuse Rehabilitation Facility | 10371 Hole Ave, Riverside, CA 92505-1747 | 2015-11-13 |
| 1518215730 | Jacqueline Garcia | Marriage & Family Therapist | 9901 Paramount Blvd Ste 250, Downey, CA 90240-3880 | 2012-08-20 |
| 1962016212 | Jacqueline Garcia | Behavior Technician | 1331 E Katella Ave Unit 223, Anaheim, CA 92805-8604 | 2020-09-03 |
| 1508482423 | Jacqueline Michelle Garcia | Physical Therapist | 5055 E Washington St Ste 125, Phoenix, AZ 85034-2008 | 2020-06-17 |
| 1285266270 | Jacqueline S Garcia | Physician Assistant | 2725 S 144th St Ste 212, Omaha, NE 68144-5253 | 2020-02-07 |
| 1376191130 | Jacqueline Sara Garcia | Speech-Language Pathologist | 15820 Addison Rd, Addison, TX 75001-3549 | 2019-08-26 |
| 1457810103 | Jacqueline Garcia | Behavior Technician | 140 S Flower St Ste 100, Orange, CA 92868-3467 | 2019-03-12 |
| Street Address |
1125 W 6TH ST STE 103 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366573313 | Sara E. Huish | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2007-03-08 |
| 1154963924 | Tifanni Crystal Prater | Social Worker | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2019-10-14 |
| 1902387244 | Jasmine Phillips | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2018-08-24 |
| 1568966547 | Gloria Berdine | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2018-03-22 |
| 1497254130 | Rebecca Marie Carvajal | Case Manager/Care Coordinator | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2018-02-08 |
| 1821512567 | Kyle Scates | Social Worker | 1125 W 6th St Ste 103, Los Angeles, CA 90017 | 2017-08-02 |
| 1033660162 | Melissa Reyes | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2016-10-24 |
| 1831541689 | Sheri Johnson | Marriage & Family Therapist | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2016-07-05 |
| 1942652805 | Elizabeth Wieland | Social Worker | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2016-07-04 |
| 1891143343 | Tamara Bolding | Rehabilitation Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on JACQUELINE GARCIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.