Healthcare Provider Details

I. General information

NPI: 1154558922
Provider Name (Legal Business Name): NICANOR STEVEN GARCIA PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4865 TRUXTUN AVE
BAKERSFIELD CA
93309-0605
US

IV. Provider business mailing address

4865 TRUXTUN AVE
BAKERSFIELD CA
93309-0605
US

V. Phone/Fax

Practice location:
  • Phone: 661-634-0789
  • Fax: 888-886-4071
Mailing address:
  • Phone: 661-634-0789
  • Fax: 888-886-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 22047
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-32859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: