Amanda Guzallis, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU3319 Issued in CA

Practice address

9033 Baseline Rd Ste F
Rancho Cucamonga, CA 91730

Phone

(909) 989-4800

NPI assigned

Jun 19, 2018

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

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Audiological Services IncGroup PAC ID 5698813574, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Audiological Services Inc

  dba Pacific Hearing Services

  • Hearing Aid Equipment
  • Rancho Cucamonga, CA
  • NPI 1801986617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1174017560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE F",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-989-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE F",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-989-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZALLIS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Daniel Gutierrez Jr., BCBA
• Roxanna Gutierrez
• Tara Ann Gutierrez
• Vivianna Gutierrez
• Yessenia Berenice Gutierrez
• Amairany Guzman
• Madelyne Michelle Guzman
• Sofia Guzman
• H&M Hospice Care, Inc.
• Brandon Ha, BCBA

• Audiologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.