Individual provider Active NPI

Alberto Guerra Lopez

  • Athletic Trainer
  • Tarzana, CA
National Provider Identifier
1235700980
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212
Phone
(818) 705-5522
NPI assigned
Jul 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212

Mailing address

7328 Etiwanda Ave
N/a
Reseda, CA 91335
Phone (323) 206-1018

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

Practice roles

OrganizationSpecialtyStatusNew patients
Learning and Behavioral Center CurrentSince Jan 17, 2022 Accepting new patients
Learning and Behavioral Center. LLC PastSince Jul 17, 2021 Accepting new patients

Locations

5554 Reseda Blvd
Ste 203
Tarzana, CA 91356
Phone (800) 683-3522

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1235700980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 ETIWANDA AVE",
            "address_2": "N/A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "323-206-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD STE 203",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566212",
            "telephone_number": "818-705-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA LOPEZ",
        "first_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.