Provider Demographics
NPI:1821212820
Name:GARCIA, VANESSA M (RN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9859 PASEO MONTRIL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3912
Mailing Address - Country:US
Mailing Address - Phone:858-538-3773
Mailing Address - Fax:858-538-3773
Practice Address - Street 1:9335 HAZARD WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1222
Practice Address - Country:US
Practice Address - Phone:858-495-5076
Practice Address - Fax:858-495-5671
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2025-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA494226163W00000X, 163WC0400X, 163WC1500X, 163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology