Individual provider Active NPI

Kelly Vasquez Garcia, FNP-C

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1942901947
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024114 Issued in CA
Practice address
31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895
Phone
(951) 302-4700
NPI assigned
Mar 15, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024114 CA Primary

Addresses

Primary practice location

31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895

Mailing address

31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895
Phone (951) 302-4700

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
I20231004004180 CA Practitioner - Nurse Practitioner 3870956063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temecula Valley Family Physicians Inc.Group PAC ID 6507954401, 5 clinicians

Practice addresses (Care Compare)

31720 Temecula Pkwy
Suite 203
Temecula, CA 92592-5895
Phone (951) 302-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024114CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Family Physicians Inc. CurrentSince Jul 29, 2023 Accepting new patients

Locations

3989 W Stetson Ave
Ste 100
Hemet, CA 92545
Phone (951) 765-7002

31720 US Highway 79
Ste 203
Temecula, CA 92592
Phone (951) 302-4700

Organizations & group practices 1

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1942901947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY STE 203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925895",
            "telephone_number": "951-302-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY STE 203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925895",
            "telephone_number": "951-302-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ GARCIA",
        "first_name": "KELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.