Jose Luis Guerra, PSYD MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT50145 Issued in CA

Practice address

3031 N San Fernando Blvd Ste 100
Burbank, CA 91504-4704

Phone

(818) 770-6147

Fax

(213) 232-1008

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Jose Guerra, Psychologist PC

  • Clinical Psychologist
  • Northridge, CA
  • NPI 1578227161
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1174649610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8401",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912240401",
            "telephone_number": "818-770-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 N SAN FERNANDO BLVD STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044704",
            "telephone_number": "818-770-6147",
            "fax_number": "213-232-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "PSYD MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32906",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT50145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GT Non-Emergency Medical Transportation Services
• Emily Guardado-Macias
• Guardian Angel Home Health, Inc.
• Vahe Guerbidjian, PHARM,D.
• Erica Guerra
• Alani Guerrero
• Anayanci Guerrero
• Francisco Guerrero
• Jarely M Guerrero Sr.
• John Guerrero

• Marriage & Family Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.