Individual provider Active NPI

Patricia A Guerrero, DDS

  • General Practice Dentistry
  • Valencia, CA
National Provider Identifier
1215204516
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50060 Issued in CA
Practice address
27730 McBean Pkwy
Valencia, CA 91354-1430
Phone
(661) 296-3300
Fax
(661) 296-3399
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50060 CA Primary

Addresses

Primary practice location

27730 McBean Pkwy
Valencia, CA 91354-1430

Mailing address

27730 McBean Pkwy
Valencia, CA 91354-1430
Phone (661) 296-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50060CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a. Guerrero, DDS, a Professional Corp General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1215204516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27730 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541430",
            "telephone_number": "661-296-3300",
            "fax_number": "661-296-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27730 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541430",
            "telephone_number": "661-296-3300",
            "fax_number": "661-296-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.