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NICODEMUS J. GARCIA MD
NPI 1669478400
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since June 27, 2005
4550 KEARNY VILLA RD, STE. 116, SAN DIEGO, CA 92123(858) 279-1223(858) 467-7161 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicodemus J. Garcia Md NPPES

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

NICODEMUS J. GARCIA MD (NPI 1669478400) is an individual psychiatry provider in San Diego, California, licensed in Missouri (104679) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1669478400
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNICODEMUS J. GARCIACredential: MD
Location Address4550 KEARNY VILLA RD, STE. 116San Diego, CA 92123-1578
Mailing Address4550 Kearny Villa Rd, Ste. 116San Diego, CA 92123-1578 · (858) 279-1223 · Fax (858) 467-7161
Phone(858) 279-1223
Fax(858) 467-7161
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 4, 2012
✔ NPI 1669478400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · 104679
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4550 KEARNY VILLA RD, San Diego, CA 92123
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Other Identifiers 3

Medicare ID-Type Unspecified035010453MO
Medicare UPINF83593MO
Medicaid206935827MS

Other Providers at the Same Location NPPES 20

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

DR. JOSE CARLOS PENA PH.D.
Psychologist (Clinical)
4550 KEARNY VILLA RD, SUITE 116
SAN DIEGO, CA 92123
San Diego County (858) 279-1223
MS. HEATHER LEE ST JEAN-GARCIA M.A.
Marriage & Family Therapist
4550 KEARNY VILLA RD, SUITE 116
SAN DIEGO, CA 92123
San Diego County (858) 279-1223
DANIEL GARDNER MD
Psychiatry & Neurology (Psychiatry)
4550 KEARNY VILLA RD, SUITE 214
SAN DIEGO, CA 92123
San Diego County (858) 560-5609
DR. ALISTAIR OWEN BARRON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4550 KEARNY VILLA RD, SUITE 116
SAN DIEGO, CA 92123
San Diego County (858) 279-1223
CAROL W. FOWLER
Social Worker (Clinical)
4550 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 279-1223
DR. ERIC CHARLES BEHRMAN PSY
Psychologist
4550 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 279-1223
SHAMSI VARSHOCHI EATON MFT
Marriage & Family Therapist
4550 KEARNY VILLA RD, SUITE 214
SAN DIEGO, CA 92123
San Diego County (858) 381-7903
MR. MYEL JOY L.C.S.W.
Counselor (Mental Health)
4550 KEARNY VILLA RD, SUITE 116
SAN DIEGO, CA 92123
San Diego County (858) 279-1223

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 Nicodemus Garcia's NPI number?

The NPI number for Nicodemus Garcia is 1669478400. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Nicodemus Garcia located?

Nicodemus Garcia practices at 4550 Kearny Villa Rd Ste. 116, San Diego, CA 92123. The listed phone number is (858) 279-1223.

What is Nicodemus Garcia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Nicodemus Garcia was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.