Organization Active NPI

Gilberto Guevara DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1134478985
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36933 Issued in CA
Legal business name
GILBERTO GUEVARA DDS
Practice address
2103 N Broadway
Santa Ana, CA 92706-2660
Phone
(714) 567-0117
Fax
(714) 567-0111
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Gilberto Guevara, DDSNPI 1649331315
Title
President/Cfo
Phone
(714) 567-0117

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36933 CA Primary

Addresses

Primary practice location

2103 N Broadway
Santa Ana, CA 92706-2660

Mailing address

2103 N Broadway
Santa Ana, CA 92706-2660
Phone (714) 567-0117

National Provider Directory

National Provider Directory

Locations

2103 N Broadway
Santa Ana, CA 92706
Phone (714) 567-0117

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1134478985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062660",
            "telephone_number": "714-567-0117",
            "fax_number": "714-567-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062660",
            "telephone_number": "714-567-0117",
            "fax_number": "714-567-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTO GUEVARA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "714-567-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.