JERRY S. GARCIA, M.D., INC (NPI# 1801215173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801215173 |
| Entity Type | Organization |
| Organization Name | JERRY S. GARCIA, M.D., INC |
| Practice Address |
1648 E Lincoln Ave Anaheim CA 92805-2222 |
| Practice Telephone | 7145354440 |
| Practice Fax Number | 7144902089 |
| Mailing Telephone | 7145354440 |
| Mailing Fax Number | 7144902089 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | DR. JERRY STEVEN GARCIA (PRESIDENT) |
| Authorized Official Telephone | 7145354440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G86442 | CA | Ambulatory Health Care Facilities |
| Street Address |
1648 E LINCOLN AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1225342462 | Thomas J Tsou Md Inc | Clinic/Center | 408 S Beach Blvd, Suite 110, Anaheim, CA 92804-1864 | 2010-07-29 |
| 1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
| 1992823686 | Bharat N. Chauhan, M.d., Inc. | Clinic/Center | 1111 W La Palma Ave, Anaheim, CA 92801-2804 | 2007-03-27 |
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| 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.