Active NPI
Olga Lydia Guijon, M.D
- Pediatrics Physician
- Long Beach, CA
National Provider Identifier
1083809537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A55616
- Practice address
- 1057 Pine Ave
Long Beach, CA 90813-3118 - Phone
- (562) 933-0400
- Fax
- (562) 933-0487
- NPI assigned
- Sep 7, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A55616 | CA | Primary |
Addresses
Primary practice location
1057 Pine Ave
Long Beach, CA 90813-3118
Mailing address
455 S Main St
Orange, CA 92868-3835
Phone (714) 532-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A055616 | Other | CA | PROFESSIONAL LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55616 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1083809537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-532-7571",
"fax_number": "714-532-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133118",
"telephone_number": "562-933-0400",
"fax_number": "562-933-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIJON",
"first_name": "OLGA",
"middle_name": "LYDIA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A55616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "A055616",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.