Individual provider Active NPI

Dolores Bonnie Guerrero-Reynaldo, LVN

  • Licensed Vocational Nurse
  • San Fernando, CA
National Provider Identifier
1063215556
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
749743 Issued in CA
Practice address
762 Griswold Ave
San Fernando, CA 91340-2105
Phone
(747) 500-9405
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 749743 CA Primary

Addresses

Primary practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Mailing address

132 N Wildwood Ave
Glendora, CA 91741-2464
Phone (626) 731-2237

Other names 1

  • Miss Dolores Bonnie Guerrero Professional name

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

State licenses

LicenseStateTypeSpecialty
749743CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Recovery Center PastSince Apr 6, 2025 Accepting new patients
San Fernando Recovery Center PastSince Apr 6, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1063215556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N WILDWOOD AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412464",
            "telephone_number": "626-731-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 GRISWOLD AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402105",
            "telephone_number": "747-500-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-REYNALDO",
        "first_name": "DOLORES",
        "middle_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "749743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "GUERRERO",
            "middle_name": "BONNIE",
            "prefix": "MISS",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.