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1417831850 NPI number — DR. IXEL GARCIA

NPI Number: 1417831850
Health Care Provider/Practitioner: DR. IXEL GARCIA

Information about “1417831850” NPI (DR. IXEL GARCIA) exists in 1417831850 in HTML format HTML  |  1417831850 in plain Text format TXT  |  1417831850 in PDF (Portable Document Format) PDF  |  1417831850 in an XML format XML  formats.

NPI Number : 1417831850 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417831850",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "IXEL",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GASTELUM",
    "OtherFirstName": "IXEL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "554 N CULLEN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDORA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91741-2122",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-646-6706",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "520 ILLINOIS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94143-2501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-353-9986",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2025",
    "LastUpdateDate": "08/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "308497",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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