Individual provider Active NPI

Damaris De Jesus Guardado

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1073357703
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030558 Issued in CA
Practice address
1100 W Stewart Dr
Orange, CA 92868-3849
Phone
(714) 771-8000
NPI assigned
Jun 19, 2024
Last updated
Oct 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030558 CA Primary

Addresses

Primary practice location

1100 W Stewart Dr
Orange, CA 92868-3849

Mailing address

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000

Other practice location 1

6851 Lennox Ave Ste 405
Van Nuys, CA 91405-4075
Phone (866) 557-7924

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001086 CA Practitioner - Nurse Practitioner 2769922517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc Progressive Recovery Inc.Group PAC ID 7214207190, 21 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 633-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030558CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Progressive Recovery Inc CurrentSince Nov 15, 2024 Accepting new patients
JWCH Institute Inc CurrentSince Sep 16, 2024 Accepting new patients
JWCH Institute, Inc. CurrentSince Sep 16, 2024 Accepting new patients
JWCH Institute Inc Current Accepting new patients
Thrive Mind Health Inc. CurrentSince Sep 20, 2025 Accepting new patients
The Teen Project, Inc. PastSince Jun 1, 2025 Accepting new patients
The Teen Project, Inc. PastSince Jun 1, 2025 Accepting new patients
Floyd Physicians, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

3350 W Ball Rd
Anaheim, CA 92804
Phone (714) 220-4533

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

6851 Lennox Ave
Ste 405
Van Nuys, CA 91405
Phone (866) 557-7924

Interoperability endpoints

  • Direct secure messaging: damaris.guardadonppsy.p1@direct.jwch.nextgenshare.com

Organizations & group practices 8

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1073357703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6851 Lennox Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914054075",
            "country_code": "US",
            "telephone_number": "866-557-7924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "DAMARIS",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.