Individual provider Active NPI

Rose-Ann Guevarra

  • Physician Assistant
  • Fullerton, CA
National Provider Identifier
1154889327
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56481 Issued in CA
Practice address
735 W Hill Ave
Fullerton, CA 92832-2819
Phone
(714) 270-5863
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56481 CA Primary

Addresses

Primary practice location

735 W Hill Ave
Fullerton, CA 92832-2819

Mailing address

735 W Hill Ave
Fullerton, CA 92832-2819
Phone (714) 270-5863

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008001439 CA Practitioner - Physician Assistant 7315367505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1043 Elm Ave
Suite 104
Long Beach, CA 90813-3244
Phone (562) 590-0345

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

3747 Worsham Ave
Suite 101
Long Beach, CA 90808-1734
Phone (562) 430-5900

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Shores Medical Group, Inc. CurrentSince Jul 3, 2020 Accepting new patients
City of Hope Medical Foundation CurrentSince Aug 8, 2021 Accepting new patients
Pacific Shores Medical Group, Inc. CurrentSince Jul 3, 2020 Accepting new patients

Locations

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

3747 Worsham Ave
Ste 101
Long Beach, CA 90808
Phone (562) 430-5900

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: rguervarra81789@cityofhope.direct-ci.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1154889327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W HILL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322819",
            "telephone_number": "714-270-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W HILL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322819",
            "telephone_number": "714-270-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "ROSE-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.