Individual provider Active NPI

Kristina Tabila-Guglielmi

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1003217886
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A196985 Issued in CA
Practice address
555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone
(760) 561-7373
Fax
(760) 327-5140
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A196985 CA Primary

Addresses

Primary practice location

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752

Mailing address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

Other practice location 1

263 Farmington Avenue
Farmington, CT 06032
Phone (860) 679-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004247 CA Practitioner - Family Practice 0446799969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

555 E Tachevah Dr
2E107
Palm Springs, CA 92262-5752
Phone (760) 318-4730

69175 Ramon Rd
BLDG a
Cathedral City, CA 92234-3344
Phone (760) 321-6776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A196985CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Group Services, PC CurrentSince Jan 1, 2025 Accepting new patients
Tabila Medical PC Family Medicine Current Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2024 Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Chess Medical, P.C. CurrentSince Jan 9, 2026 Accepting new patients
Desert Group Services, PC Current Accepting new patients
White Feather Physicians PC CurrentSince Jan 28, 2025 Accepting new patients
First Choice Physician Partners Family Medicine Past Accepting new patients

Locations

1800 Adobe St
Concord, CA 94520
Phone (925) 825-1300

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

6722 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

12100 Wilshire Blvd
#8
Los Angeles, CA 90025

600 Wilshire Blvd
Ste 980
Los Angeles, CA 90017
Phone (888) 600-9540

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

1180 N Indian Canyon Dr
Ste E419
Palm Springs, CA 92262
Phone (760) 320-5221

1100 N Palm Canyon Dr
Ste 109
Palm Springs, CA 92262
Phone (760) 992-7152

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

6061 Banbury St
San Diego, CA 92139
Phone (619) 475-2211

2018 Del Rosa Ave
Sn Bernrdno, CA 92404
Phone (909) 885-3261

1032 N Lincoln St
Stockton, CA 95203
Phone (209) 466-5341

797 E Fremont Ave
Sunnyvale, CA 94087
Phone (408) 482-5480

521 Lorel Way
Yuba City, CA 95991
Phone (216) 973-2202

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kristina.tabila-guglielmi.1@14035.direct.athenahealth.com
  • Direct secure messaging: kristina.tabila-guglielmi.1@17575.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1003217886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Avenue",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06032",
            "country_code": "US",
            "telephone_number": "860-679-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABILA-GUGLIELMI",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A196985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.