Roxanne Jackelyn Gurrola, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35540 Issued in CA

Practice address

1051 W Burbank Blvd
Burbank, CA 91506-1421

Phone

(818) 841-7055

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Roxanne Gurrola, O.D. Incorporated

  • Optometrist
  • Tarzana, CA
  • NPI 1144165341
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1144906488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 BARHAM BLVD APT T317",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681499",
            "telephone_number": "818-751-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061421",
            "telephone_number": "818-841-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURROLA",
        "first_name": "ROXANNE",
        "middle_name": "JACKELYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Alessandra Guevara
• Mary Grace Guevarra, P.T.
• Guide Therapy Services
• Armine Gukasyan
• Ara Gulesserian, DDS
• Mary Guterson
• Jasmin Gutierrez
• Luciana Gutierrez
• Reyna Linda Gutierrez
• Tambra Gutschall, D.C.

• Optometrist in Burbank, CA
• Providers in Burbank, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.