Healthcare Provider Details

I. General information

NPI: 1740191915
Provider Name (Legal Business Name): CHYREL D GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 RICHLAND AVE
CERES CA
95307-4562
US

IV. Provider business mailing address

929 ASHBURY LN
PATTERSON CA
95363-8101
US

V. Phone/Fax

Practice location:
  • Phone: 209-672-7518
  • Fax: 209-300-8898
Mailing address:
  • Phone: 510-386-0178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number681105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: