NPIMap

Organization Active NPI

Guiamelon Medical Clinic, Inc.

  • Pediatrics Physician
  • Van Nuys, CA
National Provider Identifier
1114084092
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A84265 Issued in CA
Legal business name
GUIAMELON MEDICAL CLINIC, INC.
Practice address
7301 Sepulveda Blvd
Suite 3
Van Nuys, CA 91405-1782
Phone
(818) 786-7710
Fax
(818) 786-7711
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Rita Paraiso Guiamelon, M.D.NPI 1699748301
Title
President and Medical Director
Phone
(818) 426-0649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A84265 CA Primary

Addresses

Primary practice location

7301 Sepulveda Blvd
Suite 3
Van Nuys, CA 91405-1782

Mailing address

6130 Bonner Ave
North Hollywood, CA 91606-4918
Phone (818) 980-6749

Other identifiers 4

IdentifierTypeStateIssuer
A84265OtherCAMEDICAL LICENSE
232930OtherNYMEDICAL LICENSE
00A842650OtherCAMEDI-CAL PROVIDER NUMBER
025209 MD00040515OtherWAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

7301 Sepulveda Blvd
Ste 3
Van Nuys, CA 91405
Phone (818) 786-7300

7218 Van Nuys Blvd
Ste D
Van Nuys, CA 91405
Phone (818) 786-8601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1114084092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BONNER AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064918",
            "telephone_number": "818-980-6749",
            "fax_number": "818-980-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SEPULVEDA BLVD",
            "address_2": "SUITE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051782",
            "telephone_number": "818-786-7710",
            "fax_number": "818-786-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIAMELON MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "GUIAMELON",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "PARAISO",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-426-0649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A84265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A84265",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "232930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "00A842650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "025209 MD00040515",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.