Healthcare Provider Details

I. General information

NPI: 1821212820
Provider Name (Legal Business Name): VANESSA M GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9335 HAZARD WAY
SAN DIEGO CA
92123-1222
US

IV. Provider business mailing address

9859 PASEO MONTRIL
SAN DIEGO CA
92129-3912
US

V. Phone/Fax

Practice location:
  • Phone: 858-495-5076
  • Fax: 858-495-5671
Mailing address:
  • Phone: 858-538-3773
  • Fax: 858-538-3773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number494226
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number494226
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number494226
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WG0100X
TaxonomyGastroenterology Registered Nurse
License Number494226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: