Karl Louis Guillen, AAS

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

740 W Calle Alta Loma
Oro Valley, AZ 85737-7099

Phone

(520) 870-8324

Fax

(520) 297-5355

NPI assigned

Oct 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1154083186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W CALLE ALTA LOMA",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377099",
            "telephone_number": "520-870-8324",
            "fax_number": "520-297-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W CALLE ALTA LOMA",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377099",
            "telephone_number": "520-870-8324",
            "fax_number": "520-297-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "KARL",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "AAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "77614AZ",
            "identifier": "77614AZ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.