Individual provider Active NPI

Eva Guardado, RN

  • Registered Nurse
  • San Bernardino, CA
National Provider Identifier
1033505565
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
844390 Issued in CA
Practice address
1873 Commercenter W
San Bernardino, CA 92408-3303
Phone
(909) 890-5511
Fax
(909) 890-4599
NPI assigned
Apr 10, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 844390 CA Primary

Addresses

Primary practice location

1873 Commercenter W
San Bernardino, CA 92408-3303

Mailing address

2951 N Bristol St Apt M
Santa Ana, CA 92706-1020
Phone (714) 757-6230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
844390CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1033505565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 N BRISTOL ST APT M",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061020",
            "telephone_number": "714-757-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 COMMERCENTER W",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083303",
            "telephone_number": "909-890-5511",
            "fax_number": "909-890-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "844390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.