Active NPI
Olivia Gisela Guevara
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1073494654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6732
- Practice address
- 4100 Normal St
San Diego, CA 92103-2653 - Phone
- (619) 725-7700
- NPI assigned
- Sep 10, 2025
- Last updated
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6732 | CT | Primary |
Addresses
Primary practice location
4100 Normal St
San Diego, CA 92103-2653
Mailing address
9 Seneca Rd
West Hartford, CT 06117-2246
Phone (860) 992-3774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6732 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1073494654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SENECA RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172246",
"telephone_number": "860-992-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NORMAL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032653",
"telephone_number": "619-725-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "OLIVIA",
"middle_name": "GISELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.