Active NPI
Kimberly Irene Tashkin, P.T.
- Physical Therapist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33976
- Practice address
- 10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045 - Phone
- (714) 964-0727
- Fax
- (714) 964-1137
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33976 | CA | Primary |
Addresses
Primary practice location
10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045
Mailing address
10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045
Phone (714) 964-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33976 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| Movement Works Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190
2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489
5810 Downey Ave
Long Beach, CA 90805
Phone (562) 380-2178
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
24491 Alicia Pkwy
Mission Viejo, CA 92691
Phone (949) 876-5299
5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- kimberly.tashkindpt.p1@direct.bpasten.nextgenshare.com
- kimberly.tashkin.p46@direct.newportmed.nextgenshare.com
Organizations & group practices 5
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba California Rehabilitation & Sports Therapy
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapy Clinic/Center
- Downey, CA
- NPI 1497708879
Physical Therapist
-
- Physical Therapist
- Long Beach, CA
- NPI 1437179272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1821284779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 TALBERT AVE STE 250W",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086045",
"telephone_number": "714-964-0727",
"fax_number": "714-964-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 TALBERT AVE STE 250W",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086045",
"telephone_number": "714-964-0727",
"fax_number": "714-964-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASHKIN",
"first_name": "KIMBERLY",
"middle_name": "IRENE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.