Guadalupe Grimaldo

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1850 San Benito St
Hollister, CA 95023-4899

Phone

(831) 636-2121

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chamberlain'S Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hollister, CA
  • NPI 1083010409
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1104286509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAN BENITO ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SAN BENITO ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234899",
            "telephone_number": "831-636-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDO",
        "first_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Alan Gosvener, PA-C
• April Govea
• Graft and Blossom Therapy - a Clinical Social Worker Corporation
• Marie Claudette Decastro Grageda, MD
• Gregory Scott Greer, RAS,CSC
• Grow & Glow Integrative Therapies
• Guardian Care Transportation LLC
• Zeke Guereque
• Guillermina Guillen
• Elliot Magdaleno Gutierrez

• Community Health Worker in Hollister, CA
• Providers in Hollister, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.