Healthcare Provider Details

I. General information

NPI: 1003149162
Provider Name (Legal Business Name): JOHN GARZA NP, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 STOCKDALE HWY STE 212
BAKERSFIELD CA
93309-2664
US

IV. Provider business mailing address

11607 JUBILEE LN
BAKERSFIELD CA
93311-8637
US

V. Phone/Fax

Practice location:
  • Phone: 661-473-1500
  • Fax: 661-412-0364
Mailing address:
  • Phone: 928-707-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS25250
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95028051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: