Individual provider Active NPI

Pedro R. Guevara, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1043338734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A86351 Issued in CA
Practice address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone
(214) 712-2403
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A86351 CA Primary

Addresses

Primary practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Mailing address

5175 Diamond Heights Blvd
#207
San Francisco, CA 94131-1739

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001362 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8123004835 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86351CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
County of San Mateo CurrentSince Aug 20, 2017 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
County of San Mateo CurrentSince Aug 20, 2017 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Sep 15, 2010 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 15, 2010 Accepting new patients
County of San Mateo CurrentSince Aug 20, 2017 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Cep America - California Past Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Past Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043338734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 DIAMOND HEIGHTS BLVD",
            "address_2": "#207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104403",
            "telephone_number": "214-712-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "PEDRO",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.