Individual provider Active NPI

Tatiana Carmelise Garrido Lim, PA-C

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1336012384
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67193 Issued in CA
Practice address
27555 Ynez Rd Ste 102
Temecula, CA 92591-4677
Phone
(951) 302-2526
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67193 CA Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 102
Temecula, CA 92591-4677

Mailing address

27555 Ynez Rd Ste 102
Temecula, CA 92591-4677
Phone (951) 302-2526

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204000577 CA Practitioner - Physician Assistant 6002309416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temecula Medical Group IncGroup PAC ID 8426370354, 3 clinicians

Practice addresses (Care Compare)

27555 Ynez Rd
Suite 102
Temecula, CA 92591-4677
Phone (951) 302-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67193CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Temecula Valley Hospital Inc PastSince Nov 1, 2025 Accepting new patients

Locations

27555 Ynez Rd
Ste 102
Temecula, CA 92591
Phone (951) 302-2526

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25490/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1336012384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914677",
            "telephone_number": "951-302-2526",
            "fax_number": "951-381-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914677",
            "telephone_number": "951-302-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "TATIANA",
        "middle_name": "CARMELISE GARRIDO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.