MR. JUAN CARLOS GARCIA (NPI# 1588205538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588205538 |
| Entity Type | Individual |
| Full Name | MR. JUAN CARLOS GARCIA |
| Credential | PA-C |
| Practice Address |
950 East Bogard Road Suite 103 Wasilla AK 99654 |
| Mailing Address |
5851 S Knik Goose Bay Rd Wasilla AK 99623-0012 |
| Practice Telephone | 2817551076 |
| Mailing Telephone | 9078641300 |
| Mailing Fax Number | 9078641325 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 146627 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PA LICENSE NUMBER | 146627 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169500 | Juan Garcia | Behavior Technician | 1200 N White Sands Blvd Ste 122, Alamogordo, NM 88310-6774 | 2018-06-23 |
| 1457877102 | Juan Garrigos Garcia | Registered Nurse | 4862 Swinford Ct, Dublin, CA 94568-7809 | 2017-08-15 |
| 1265978142 | Juan Garcia | Assistant Behavior Analyst | 5441 Nw 178th Ter, Miami Gardens, FL 33055-3133 | 2017-01-16 |
| 1467801696 | Juan Ricardo Garcia | Emergency Medical Technician, Paramedic | K5 Calle 3, Urb La Monserrate, Hormigueros, PR 00660-1602 | 2016-06-08 |
| 1487001319 | Juan Luis Garcia | Behavior Technician | 11625 Canal Dr Apt 18, North Miami, FL 33181-3269 | 2016-05-20 |
| 1013306208 | Juan Carlos Garcia | Private Vehicle | 513 S Adams St. Apt. 110, Glendale, CA 91205 | 2015-01-12 |
| 1134485485 | Juan Enrique Garcia | Massage Therapist | 925 Ne 30th Terr., # 206, Homestead, FL 33033-7614 | 2012-04-11 |
| 1396939062 | Juan F Garcia | Internal Medicine | 1718 Edgewood Ave N, Jacksonville, FL 32254-1757 | 2007-09-05 |
| 1023237625 | Juan R Garcia Sr. | General Practice | 9 Calle San Benito, Las Marias, PR 00670-2102 | 2007-04-24 |
| 1710008735 | Juan Leyva Garcia Jr. | Social Worker | 1755 W Hammer Ln Ste 1, Stockton, CA 95209-2900 | 2007-04-03 |
| Street Address |
950 EAST BOGARD ROAD SUITE 103 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| 1144706458 | Alysia S Peppers | Licensed Practical Nurse | 3628 South Shady Lane, Wasilla, AK 99654 | 2018-07-19 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184055600 | Terrin Lee Galbraith | Physician Assistant | 760 E Susitna Dr, Wasilla, AK 99654-3922 | 2013-12-09 |
| 1871879718 | Neil Anthony Nardini | Physician Assistant | 1700 E Parks Hwy Ste 200, Wasilla, AK 99654-7352 | 2011-10-24 |
| 1265599674 | Bruce A Bassity | Physician Assistant | 1001 Knik-goosebay Road, Wasilla, AK 99654 | 2007-01-03 |
| 1740358167 | Katherine Grace Van Atta | Physician Assistant | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2006-12-01 |
| 1871530022 | Jason Wayne Collins | Physician Assistant | 1700 E Parks Hwy # 200, Wasilla, AK 99654-7352 | 2006-05-31 |
| 1740235829 | Richard W. Blake | Physician Assistant | 3600 E Wickersham Way, Wasilla, AK 99654 | 2006-05-24 |
| 1255333738 | Virginia Carol Cooper | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2005-08-15 |
| 1427699222 | Matthew John Mau | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2019-10-02 |
| 1710406822 | Cynthia Dunleavy | Physician Assistant | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2017-09-11 |
| 1922530971 | Bailey Philadelphia Green | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2017-03-29 |
| Find all providers in WASILLA | ||||
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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.