Look up the most recent NPI and PECOS records

Sofia Garcia

Behavior Technician

Behavioral Health & Social Service Providers

11930 Albion Way, Moreno Valley, CA 92557-6139

PECOS Enrollment

Based on the most recent information from CMS, provider Sofia Garcia does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790263754
Provider Type
Individual
Full Name
Garcia, Sofia
Gender
Female

Sole Proprietor
No
Enumeration Date
8/1/2018
Last Updated
8/1/2018

Contact Information

Practice Location

11930 Albion Way, Moreno Valley, CA 92557-6139

(951) 807-0665

Unlisted Fax

Mailing Location

11930 Albion Way, Moreno Valley, CA 92557-6139

(951) 807-0665

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer California

Provider Identifiers

ID	Description	Issuer
ID R12190573	Description Other	Issuer HEALTH NET California

Sofia Garcia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Malone, Sharee L

Livesay, Brittany Anne

Espinoza Valencia, Adriana Camilia

Solis, Maribel

Varner, Patricia

Muhammad, Nijala Ainbe

Mendoza, Jazmine Andrea

Alston, James

Munoz, Abel

Porter, Alexis