Miguel Guillermo, PMNHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Orange, CA
NPI 1225969751 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1225969751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP95038863 (CA)
- Practice address
- 2230 W Chapman Ave # 212
Orange, CA 92868-2316 - Phone
- (714) 712-0711
- NPI assigned
- May 26, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13018 Sonoma Valley Dr
Riverside, CA 92503-7131
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95038863 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainiac Medical Corporation | Psychiatric/Mental Health | Current |
Accepting new patients |
| Brainpower Wellness Institute Nursing Corporation | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711
2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95038863 | CA | Yes |
Addresses
Primary practice location
2230 W Chapman Ave # 212
Orange, CA 92868-2316
Mailing address
2230 W Chapman Ave # 212
Orange, CA 92868-2316
Other providers in Orange, CA
- Phillip Lawrence Guichet
- Emeli Guijarro
- Daniel Guillen
- Nereida Guillen
- Paola Guillen
- Jeremy Michal Vincent Guinn
- Ryan Coronel Guinoo
- Fahad Iftikhar Gul
- Minkle Gulati
- Vivek Gulati
All providers in Orange, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.