Provider Demographics
NPI:1689239113
Name:GARCIA, MONICA (RN, NP)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 1ST AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-1667
Mailing Address - Country:US
Mailing Address - Phone:510-289-6972
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICES 2222 BANCROFT WAY MC4300
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-0001
Practice Address - Country:US
Practice Address - Phone:510-643-5808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000788363LF0000X
CA780820163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95000788OtherSTATE OF CA - BOARD OF REGISTERED NURSING - NP LICENSE
CA780820OtherSTATE OF CA - BOARD OF REGISTERED NURSING - RN LICENSE