Individual provider Active NPI

Lydia Guirges

  • Chiropractor
  • Upland, CA
National Provider Identifier
1245865807
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34777 Issued in CA
Practice address
167 S 3Rd Ave
Upland, CA 91786-6672
Phone
(310) 892-6803
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34777 CA Primary

Addresses

Primary practice location

167 S 3Rd Ave
Upland, CA 91786-6672

Mailing address

7382 Solstice PL
Rancho Cucamonga, CA 91739-8769
Phone (310) 892-6803

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
34777CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Guirges Chiropractic Inc Chiropractor CurrentSince Nov 10, 2024 Accepting new patients
Brittany Anne Burkhart Chiropractor PastSince May 16, 2022 Accepting new patients

Locations

3333 Concours
Ste 4201
Ontario, CA 91764
Phone (909) 667-1699

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1245865807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7382 SOLSTICE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398769",
            "telephone_number": "310-892-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S 3RD AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866672",
            "telephone_number": "310-892-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGES",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.