Provider Demographics
NPI:1548980170
Name:GARCIA, MARIA E (PA-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 V ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1438
Mailing Address - Country:US
Mailing Address - Phone:541-690-5972
Mailing Address - Fax:
Practice Address - Street 1:481 PLUMAS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:916-406-2391
Practice Address - Fax:916-406-2391
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
CA61862363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant