Jordan Anthony Guerrero, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

12683 Alta Mar Way
Victorville, CA 92392-7636

Phone

(760) 925-7159

NPI assigned

Mar 7, 2024

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1184482838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 HESPERIA RD STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "telephone_number": "760-684-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12683 ALTA MAR WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927636",
            "telephone_number": "760-925-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JORDAN",
        "middle_name": "ANTHONY",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bukola Gross
• Keith Mark Gross, MD
• Tierra Nichole Grundy, MA
• Ha Bin Gu, PHARMD
• Daisy Guerrero, LVN
• Laura Guerrero
• Michael Guerret, OD
• Loida Vitan Guevarra, M.D.
• Isabelle Guiang, MSN, CPN, NP-C
• Adriana Guillen

• Community Health Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.