Guadalupe Amanda Gurrola

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ACSW117544 Issued in CA

Practice address

1180 W Mahalo PL Unit B
Compton, CA 90220-5443

Phone

(310) 868-5379

NPI assigned

Aug 24, 2022

Reactivated

Oct 2, 2023

Last updated

Jun 24, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Star View Behavioral Health, Inc.

  dba Star View Community Services

  • Adolescent and Children Mental Health Clinic/Center
  • Compton, CA
  • NPI 1962580167
  NPD
• New Alternatives Inc.

  • Case Management Agency
  • Fountain Valley, CA
  • NPI 1174989735
  NPD (past)
• Western Youth Services

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1215484019
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1013636828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W MAHALO PL UNIT B",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205443",
            "telephone_number": "310-868-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W MAHALO PL UNIT B",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205443",
            "telephone_number": "310-868-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURROLA",
        "first_name": "GUADALUPE",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "deactivation_date": "2023-09-22",
        "reactivation_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW117544",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "117544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Guerrero, LCSW
• Saul Arnoldo Guillen Jr., B.S
• Angel Guillory, PHLEBOTOMIST
• Rick Gulino, LCSW
• Chelsea Gunnels
• Desiree Marie Gutierrez
• Isaveyla Gutierrez, MD
• Monica Jeannette Gutierrez, MA
• Noemi Gutierrez
• Rosa Guzman

• Social Worker in Compton, CA
• Providers in Compton, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.