EDGAR E GARCIA – Physician Assistant, NPI 1104587229

EDGAR E GARCIA is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA217961 (OR). The NPI Number for EDGAR E GARCIA is 1104587229

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR E GARCIA
NPI
1104587229
Phone
Not provided
Address
11380 S VIRGINIA ST APT 1811
Enumeration Date
2 January 2022
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038485861
Graduation Year
2023 (3 years ago)
PAC ID
7214382167
Group Practice PAC ID
8426227893
Professional Enrollment ID
I20231012000656
Address ID
OR971249224HI10690RDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for EDGAR E GARCIA

  • 11380 S VIRGINIA ST APT 1811

    RENO, NV 895118263

    Phone:

    Type: Mailing

  • 7320 SW HUNZIKER RD STE 300

    PORTLAND, OR 972232302

    Phone: (503) 941-3033

    Type: Mailing

  • 10690 NE CORNELL RD STE 220

    HILLSBORO, OR 971249224

    Phone: (503) 848-5861

    Fax: (503) 848-5863

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Mannkind Corporation ($78).

Total Amount

$78

General + Research + Ownership

Payments

1

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mannkind Corporation$78
View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-12

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
I20231012000656IPhysician AssistantORTBD

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 89511)

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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: 8426227893View full group profile
NameSpecialtyState
Nurse PractitionerOR
-OR
Physician AssistantMO
Physician AssistantOR
Nurse PractitionerOR
Family PracticeOR
Clinical Social WorkerWA
Family PracticeOR
Internal MedicineOR
Family PracticeOR

Reviews

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Frequently asked questions

What unique ID ties claims to EDGAR E GARCIA?
NPI 1104587229 is assigned to EDGAR E GARCIA under the national enumeration system.
Is EDGAR E GARCIA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does EDGAR E GARCIA treat or focus on?
Patients typically see EDGAR E GARCIA under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is EDGAR E GARCIA's primary listing?
We display Reno, Nevada because that is what the record indicates for EDGAR E GARCIA.
Is EDGAR E GARCIA a real provider?
This page reflects official NPPES data for NPI 1104587229. Always confirm identity and privileges with the practice and licensing boards.

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