Physician Compare National (NPI:1134647308)

HEALTHCARE PROVIDER: BRENDON JAMES GARCIA PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134647308
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729328430
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190315001527
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARCIA
	Individual professional last name
Provider First Name	BRENDON
	Individual professional first name
Provider Middle Name	JAMES
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DIGNITY HEALTH MEDICAL FOUNDATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7810800661
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1112
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2656 EDITH AVE B
	Group Practice or individual's line 1 address
City	REDDING
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960013030
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5302442882
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050280
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y