Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HEIDI RAE GARCIA PAC
NPI 1508853136
Physician Assistant in Gardena, CA

Active since September 29, 2005PECOS Enrolled
1141 W REDONDO BEACH BLVD, SUITE 104, GARDENA, CA 90247(310) 538-9400(310) 538-0101 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heidi Rae Garcia Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI RAE GARCIA PAC (NPI 1508853136) is an individual physician assistant in Gardena, California, licensed in California (13904) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508853136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEIDI RAE GARCIACredential: PAC
Location Address1141 W REDONDO BEACH BLVD, SUITE 104Gardena, CA 90247-3586
Mailing Address3228 W 154th StGardena, CA 90249-4016 · (310) 715-2185
Fax(310) 538-0101
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1508853136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 13904
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1141 W REDONDO BEACH BLVD, Gardena, CA 90247

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heidi Rae Garcia Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1141 W REDONDO BEACH BLVD, SUITE 107
GARDENA, CA 90247
Internal Medicine
1141 W REDONDO BEACH BLVD, SUITE 400
GARDENA, CA 90247
Nurse Practitioner (Family)
1141 W REDONDO BEACH BLVD, SUITE 404
GARDENA, CA 90247
Pediatrics
1141 W REDONDO BEACH BLVD, SUITE #409
GARDENA, CA 90247
Internal Medicine (Pulmonary Disease)
1141 W REDONDO BEACH BLVD, SUITE 311
GARDENA, CA 90247
Specialist
1141 W REDONDO BEACH BLVD, SUITE 402
GARDENA, CA 90247
Pediatrics
1141 W REDONDO BEACH BLVD, # 407
GARDENA, CA 90247
Specialist
1141 W REDONDO BEACH BLVD, SUITE 402
GARDENA, CA 90247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508853136, enumerated as an "individual" on September 29, 2005.

The provider is located at 1141 W REDONDO BEACH BLVD SUITE 104 GARDENA, CA 90247 and the phone number is (310) 538-9400.

Physician Assistant with taxonomy code 363A00000X.