Individual provider Active NPI

Matthew Guevara, PT

  • Physical Therapist
  • Cypress, CA
National Provider Identifier
1144836768
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299145 Issued in CA
Practice address
9827 Walker St
Cypress, CA 90630-3826
Phone
(714) 220-9001
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299145 CA Primary

Addresses

Primary practice location

9827 Walker St
Cypress, CA 90630-3826

Mailing address

5119 Saratoga Ave
Cypress, CA 90630-4449
Phone (714) 822-0723

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgguevara@selectmedical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803003398 CA Practitioner - Physical Therapist in Private Practice 1052715729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

9827 Walker St
Cypress, CA 90630-3826
Phone (714) 220-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299145CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

9827 Walker St
Cypress, CA 90630
Phone (714) 220-9001

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1144836768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 SARATOGA AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304449",
            "telephone_number": "714-822-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303826",
            "telephone_number": "714-220-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgguevara@selectmedical.com",
            "affiliation": "N",
            "address_1": "9827 Walker St",
            "city": "Cypress",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906303826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.