Provider Demographics
NPI:1639221070
Name:GARCIA, TORI (MSN, NP)
Entity Type:Individual
Prefix:MS
First Name:TORI
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9285 LOMA LN
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4215
Mailing Address - Country:US
Mailing Address - Phone:916-988-7679
Mailing Address - Fax:916-988-7679
Practice Address - Street 1:1125 10TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-3503
Practice Address - Country:US
Practice Address - Phone:916-444-7966
Practice Address - Fax:916-446-2869
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP16909363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner