Josie Lauren Bass De la Guardia, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95235981 Issued in CA

Practice address

2213 Buchanan Rd Ste 103
Antioch, CA 94509-4265

Phone

(925) 303-4780

NPI assigned

Feb 23, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1154915858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 5TH ST UNIT 449",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101878",
            "telephone_number": "404-694-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 103",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-303-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GUARDIA",
        "first_name": "JOSIE",
        "middle_name": "LAUREN BASS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95235981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmirra Jeaninah M Dayrit, DDS
• Katherine De Castro, PA-C
• Nina Karhen De Christopher
• Sandi De Guzman, FNP
• Jeannette De la Cruz Garcia
• Holly Lynn Dean, FNP
• Rachel Elyse Dean, B.A.
• Debra L Stewart, Inc
• Mary-Jane Dejonge
• Sarah Del Gavio, LCSW

• Family Medicine Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.