Odalys Eunice Garcia

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

555 N Perris Blvd BLDG a
Perris, CA 92571-2811

Phone

(951) 436-5300

NPI assigned

Jun 2, 2022

Reactivated

Sep 15, 2025

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Shine Bright Network LLC

  • Behavior Analyst
  • Highland, CA
  • NPI 1063043644
  NPD (past)
• Shine Bright Speech and Language Therapy Corp.

  • Speech-Language Pathologist
  • Redlands, CA
  • NPI 1912572140
  NPD (past)
• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Perris, CA
  • NPI 1629240270
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1467191858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N PERRIS BLVD BLDG A",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712811",
            "telephone_number": "951-436-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N PERRIS BLVD BLDG A",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712811",
            "telephone_number": "951-436-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ODALYS",
        "middle_name": "EUNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "deactivation_date": "2025-08-12",
        "reactivation_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lupita Garcia
• Crystal C Garcia, LCSW
• Gilbert Garcia
• John Garcia, CCC-SLP
• Jonathan Josue Garcia
• Garfield Beach CVS, L.L.C. (CVS Pharmacy #17924)
• Garlynco Inc. Dba Our Countryside Resort
• Ashley Nicole Gartin
• Gavilan Manor
• David Floyd Gendreau, D.C.

• Student in an Organized Health Care Education/Training Program in Perris, CA
• Providers in Perris, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.