Healthcare Provider Details

I. General information

NPI: 1700710415
Provider Name (Legal Business Name): ESMERALDA GARCIA-GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S NORFOLK ST STE 205
SAN MATEO CA
94403-1184
US

IV. Provider business mailing address

1960 CALIFORNIA ST APT 6
MOUNTAIN VIEW CA
94040-2098
US

V. Phone/Fax

Practice location:
  • Phone: 650-242-0179
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberY1662282
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: