DR. KIMBERLY TATIANA GARCIA (PT, DPT) – Physical Medicine & Rehabilitation Physician, NPI 1679308399

DR. KIMBERLY TATIANA GARCIA (PT, DPT) is a healthcare provider. based in Temecula, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 306747 (CA). The NPI Number for DR. KIMBERLY TATIANA GARCIA (PT, DPT) is 1679308399

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY TATIANA GARCIA (PT, DPT)
NPI
1679308399
Phone
(626) 622-6017
Address
25300 TERRENO DR
Enumeration Date
3 September 2024
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513532000
Graduation Year
2024 (2 years ago)
PAC ID
5991225856
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20250221001239
Address ID
CA925053043RI10800AVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. KIMBERLY TATIANA GARCIA (PT, DPT)

  • 25300 TERRENO DR

    TEMECULA, CA 925903910

    Phone: (626) 622-6017

    Type: Mailing

  • 22750 WILDOMAR TRL

    WILDOMAR, CA 925959048

    Phone: (833) 574-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250221001239IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92590)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is DR. KIMBERLY TATIANA GARCIA (PT, DPT)'s NPI number?
DR. KIMBERLY TATIANA GARCIA (PT, DPT)'s NPI is 1679308399 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. KIMBERLY TATIANA GARCIA (PT, DPT)?
For scheduling context, DR. KIMBERLY TATIANA GARCIA (PT, DPT) is shown as active in the registry.
What area of care is associated with DR. KIMBERLY TATIANA GARCIA (PT, DPT)?
DR. KIMBERLY TATIANA GARCIA (PT, DPT)'s record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIMBERLY TATIANA GARCIA (PT, DPT)?
Directory geography for DR. KIMBERLY TATIANA GARCIA (PT, DPT) centers on Temecula, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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