Individual provider Active NPI

Kimberly Irene Tashkin, P.T.

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1821284779
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33976 Issued in CA
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

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090603000370 CA Practitioner - Physical Therapist in Private Practice 3870643356 Reassigns benefits to 2 organizations

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33976CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince May 4, 2022 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince May 4, 2022 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

  • Direct secure messaging: kimberly.tashkindpt.p1@direct.bpasten.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.