Tesfaye Guduno

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

256193 Issued in CA

Practice address

7171 Bowling Dr
Sacramento, CA 95823-2034

Phone

(510) 826-7235

NPI assigned

Oct 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1033939384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 40TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092633",
            "telephone_number": "510-613-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BOWLING DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232034",
            "telephone_number": "510-826-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDUNO",
        "first_name": "TESFAYE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "256193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed N Gubran, MD
• Bana Gubsa
• Douglas Benjamin Gudeman
• Antonio Gudino
• Sanjana Gudivada
• Amber Denise Guenther
• Sergio Guerra-Castro Jr.
• Alexis Guerra
• Estefania Guerra
• Patricia Guerra

• Licensed Vocational Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.