Tatiana M Guerrero, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17713 Issued in CA

Practice address

1840 N Hacienda Blvd
#3
La Puente, CA 91744

Phone

(626) 350-7087

NPI assigned

Oct 20, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094

  General Practice

  Medicare reassignment NPD (past)
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Norco, CA
  • NPI 1033488416
  NPD
• Central City Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1942014337
  NPD (past)
• Stanley Arbiter MD Leonard Beller MD & Michael Silao MD

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1003952342
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1215010756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 VICTORIA PL",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115320",
            "telephone_number": "949-275-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD",
            "address_2": "#3",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-350-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "TATIANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Robert Goodman, LCSW
• Grace J. Dacanay O.D., Inc.
• Nicki Nakessa Griswold
• Edi Gu, LAC.
• Jasmine Marie Guerrero
• Michelle U Guevara
• Angelica Gurrola
• Analecia Janet Guthrie
• Carolina Gutierrez-Valdez, DDS
• Thai Ha, PHARM.D.

• Physician Assistant in La Puente, CA
• Providers in La Puente, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.