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EMMANUEL GARCIA
NPI 1124790118
Counselor - Professional in Los Angeles, CA

Active since September 29, 2021PECOS Enrolled
12600 BRADDOCK DR APT 118, LOS ANGELES, CA 90066(909) 501-4688 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2024, Oct 13, 2021, Oct 4, 2021 and 1 more (4 updates tracked since 2021).

About Emmanuel Garcia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL GARCIA (NPI 1124790118) is an individual professional provider in Los Angeles, California, licensed in California (16451) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124790118
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEMMANUEL GARCIA
Location Address12600 BRADDOCK DR APT 118Los Angeles, CA 90066-6740
Mailing Address12600 Braddock Dr Apt 118Los Angeles, CA 90066-6740 · (909) 501-4688
Phone(909) 501-4688
Sole ProprietorNo
Enumeration DateSeptember 29, 2021
Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1124790118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 16451
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 16451 (CA)
12600 BRADDOCK DR APT 118, Los Angeles, CA 90066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuel Garcia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Emmanuel Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Blue Psychological Services
13 mi
Psychologist
15235 BURBANK BLVD STE A2
Sherman Oaks, CA 91411
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1124678719 (858) 883-3277
Cyti Health PC
114 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIATE HOPE LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Counselor (Professional)
12600 BRADDOCK DR APT 118
LOS ANGELES, CA 90066
Los Angeles County (909) 501-4688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Garcia's NPI number?

The NPI number for Emmanuel Garcia is 1124790118. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Emmanuel Garcia located?

Emmanuel Garcia practices at 12600 Braddock Dr Apt 118, Los Angeles, CA 90066. The listed phone number is (909) 501-4688.

What is Emmanuel Garcia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Emmanuel Garcia enrolled in Medicare?

Yes. Emmanuel Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emmanuel Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Garcia reassigns Medicare benefits to 2 organizations: Pacific Blue Psychological Services (Sherman Oaks, CA) and Cyti Health PC (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmanuel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmanuel Garcia accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Emmanuel Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Garcia was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.