Phillip Lawrence Guichet, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Orange, CA
NPI 1154853265 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1154853265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- A183687 (CA)
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 456-7237
- NPI assigned
- Mar 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- University of Southern California Keck School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- UC Regents
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
- Providence St. Joseph Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612000104 | CA | Practitioner - Interventional Radiology |
0941533384 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A183687 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current |
Accepting new patients | |
| UC Regents | Current |
Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A183687 | CA | Yes |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
101 The City Dr S
Orange, CA 92868-3201
Other providers in Orange, CA
- Eric Guevara
- Yvette Guevara
- Guichet & Guichet, DDS, Inc.
- David L Guichet
- Gregory N Guichet
- Emeli Guijarro
- Daniel Guillen
- Nereida Guillen
- Paola Guillen
- Miguel Guillermo
All providers in Orange, CA · Vascular & Interventional Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.