Individual provider Active NPI

Miguel Guillermo, PMNHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1225969751
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95038863 Issued in CA
Practice address
2230 W Chapman Ave # 212
Orange, CA 92868-2316
Phone
(714) 712-0711
NPI assigned
May 26, 2026
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95038863 CA Primary

Addresses

Primary practice location

2230 W Chapman Ave # 212
Orange, CA 92868-2316

Mailing address

2230 W Chapman Ave # 212
Orange, CA 92868-2316

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13018 Sonoma Valley Dr
Riverside, CA 92503-7131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95038863CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brainpower Wellness Institute Nursing Corporation Psychiatric/Mental Health CurrentSince Jul 1, 2026 Accepting new patients
Brainiac Medical Corporation Psychiatric/Mental Health CurrentSince Jul 1, 2026 Accepting new patients

Locations

160 S Old Springs Rd
Ste 135C
Anaheim, CA 92808

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

2230 W Chapman Ave
Ste 210C
Orange, CA 92868
Phone (714) 248-3764

2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1225969751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE # 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE # 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "714-712-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "MIGUEL",
        "credential": "PMNHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95038863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.