Individual provider Active NPI

Lauren Renee Guajardo, OD

  • Optometrist
  • Davis, CA
National Provider Identifier
1245682178
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33846TLG Issued in CA
Practice address
1 Shields Ave
Davis, CA 95616-5270
Phone
(530) 752-8612
Fax
(530) 754-5842
NPI assigned
Jul 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33846TLG CA Primary

Addresses

Primary practice location

1 Shields Ave
Davis, CA 95616-5270

Mailing address

19 Lido Cir
Sacramento, CA 95826-1612
Phone (209) 505-1560

Other practice location 1

4860 Y St Ste 2400
Sacramento, CA 95817-2307
Phone (916) 734-6602

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214001555 CA Practitioner - Optometry 8921366246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

14264 Innovation Dr
Folsom, CA 95630-4099
Phone (916) 985-9300

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

4860 Y St
Sacramento, CA 95817-2307

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33846TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Oct 1, 2021 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 6, 2020 Accepting new patients
Regents of the Univ of Ca Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Ole Health Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of Ca CurrentSince Oct 1, 2021 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Ole Health CurrentSince Nov 7, 2023 Accepting new patients
Ole Health CurrentSince Nov 7, 2023 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter North Medical Foundation PastSince Dec 1, 2017 Accepting new patients
Essent PRMC LP Past Accepting new patients
Ole Health Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

2035 Lyndell Ter
Ste 100
Davis, CA 95616
Phone (530) 668-6000

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 2400
Sacramento, CA 95817
Phone (916) 734-6602

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

954 Sacramento Ave
West Sacramento, CA 95605
Phone (916) 373-1495

Interoperability endpoints

  • Direct secure messaging: lguajardo725311@direct.ochin.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1245682178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LIDO CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958261612",
            "telephone_number": "209-505-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165270",
            "telephone_number": "530-752-8612",
            "fax_number": "530-754-5842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4860 Y St Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172307",
            "country_code": "US",
            "telephone_number": "916-734-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-03",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33846TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.