Healthcare Provider Details

I. General information

NPI: 1639356165
Provider Name (Legal Business Name): CHARLES A. GARCIA M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 AUBURN BLVD., SACRAMENTO, CA 95821
SACRAMENTO CA
95821
US

IV. Provider business mailing address

850 E GARLAND AVE
FRESNO CA
93704-4847
US

V. Phone/Fax

Practice location:
  • Phone: 916-482-2370
  • Fax:
Mailing address:
  • Phone: 559-802-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT INTERN 59214
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number89896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: