Active NPI
Edgar E Garcia
- Physician Assistant
- Hillsboro, OR
National Provider Identifier
1104587229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA217961
- Practice address
- 10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224 - Phone
- (503) 848-5861
- Fax
- (503) 848-5863
- NPI assigned
- Jan 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA217961 | OR | Primary |
Addresses
Primary practice location
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Mailing address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10690 NE Cornell Rd
Suite 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861
Hospital & facility affiliations
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA217961 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Current | Accepting new patients | |
| Neighborhood Health Center | Past | Accepting new patients | |
| Neighborhood Health Center | Past | Accepting new patients |
Locations
7320 SW Hunziker Rd
Ste 300
Tigard, OR 97223
Phone (503) 941-3033
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174820815
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1083984264
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1457902561
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1104587229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232302",
"telephone_number": "503-941-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10690 NE CORNELL RD STE 220",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249224",
"telephone_number": "503-848-5861",
"fax_number": "503-848-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "EDGAR",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-02",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA217961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.