Provider Demographics
NPI:1982353033
Name:GARCIA, JOSE ANTONIO (DO)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ANTONIO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 CROW HILL DR
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-9537
Mailing Address - Country:US
Mailing Address - Phone:209-585-6418
Mailing Address - Fax:
Practice Address - Street 1:581 4TH AVE
Practice Address - Street 2:
Practice Address - City:GUSTINE
Practice Address - State:CA
Practice Address - Zip Code:95322-1143
Practice Address - Country:US
Practice Address - Phone:209-854-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program