Provider Demographics
NPI:1649889742
Name:GARCIA, DANIEL VENTURA
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:VENTURA
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6287 GRAND OAK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2204
Mailing Address - Country:US
Mailing Address - Phone:408-960-5543
Mailing Address - Fax:
Practice Address - Street 1:840 GUADALUPE PKWY STE 238
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-1714
Practice Address - Country:US
Practice Address - Phone:408-278-6230
Practice Address - Fax:408-971-2651
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator