1487298261 NPI number — NATALIA GARCIA LICENSED CLINICAL SOCIAL WORKER, INC

Table of content: ASHLEY MARIE NACCARATO PHARMD (NPI 1821712902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487298261 NPI number — NATALIA GARCIA LICENSED CLINICAL SOCIAL WORKER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATALIA GARCIA LICENSED CLINICAL SOCIAL WORKER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487298261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1004 W WEST COVINA PKWY # 109
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST COVINA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91790-2810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 N CITRUS AVE STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVINA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91723-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-809-4385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
NATALIA
Authorized Official Middle Name:
VENTURA
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
661-809-4385

Provider Taxonomy Codes

  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1215153473 . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1215153473 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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