Individual provider Active NPI

Esther Guardado, P.A.C

  • Physician Assistant
  • Fullerton, CA
National Provider Identifier
1073794152
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
17635 Issued in CA
Practice address
101 Laguna Rd Ste 200
Fullerton, CA 92835-3634
Phone
(714) 992-5350
NPI assigned
Nov 17, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 17635 CA Primary

Addresses

Primary practice location

101 Laguna Rd Ste 200
Fullerton, CA 92835-3634

Mailing address

101 Laguna Rd Ste 200
Fullerton, CA 92835-3634
Phone (714) 992-5350

Other practice location 1

501 S Idaho St
100
La Habra, CA 90631
Phone (562) 690-0400 ext. 1627

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
I20140709001316 CA Practitioner - Physician Assistant 0244455129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

101 Laguna Rd
Suite 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

101 Laguna Rd
Suite 200
Fullerton, CA 92835-3634
Phone (714) 992-5350

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17635CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Oct 26, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Oct 26, 2024 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

101 Laguna Rd
Ste 200
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1073794152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353634",
            "telephone_number": "714-992-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353634",
            "telephone_number": "714-992-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Idaho St",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "La Habra",
            "state": "CA",
            "postal_code": "90631",
            "country_code": "US",
            "telephone_number": "562-690-0400 x1627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "ESTHER",
        "credential": "P.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.