Provider Demographics
NPI:1245035351
Name:GARCIA, AMERICA PRISCILLA
Entity type:Individual
Prefix:
First Name:AMERICA
Middle Name:PRISCILLA
Last Name:GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SAN MIGUEL DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1429
Mailing Address - Country:US
Mailing Address - Phone:619-600-6691
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1506
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92871-9506
Practice Address - Country:US
Practice Address - Phone:818-275-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131432106H00000X
CA11956101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional