Individual provider Active NPI

Elizabeth Guerrero

  • Hearing Instrument Specialist
  • Upland, CA
National Provider Identifier
1255119236
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8876 Issued in CA
Practice address
561 N Mountain Ave
Upland, CA 91786-5016
Phone
(909) 931-1069
Fax
(909) 931-1071
NPI assigned
Sep 20, 2023
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA8876 CA Primary

Addresses

Primary practice location

561 N Mountain Ave
Upland, CA 91786-5016

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

5055 Canyon Crest Dr
Riverside, CA 92507-6015
Phone (951) 682-0739

Other practice location 2

12637 Hesperia Rd Ste B
Victorville, CA 92395-7774
Phone (760) 241-2250

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
HA8876CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Hearing Instrument Specialist CurrentSince Sep 24, 2023 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist CurrentSince Sep 24, 2023 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist PastSince May 10, 2020 Accepting new patients

Locations

5055 Canyon Crest Dr
Riverside, CA 92507
Phone (951) 682-0739

9825 Magnolia Ave
Ste C
Riverside, CA 92503
Phone (951) 521-2332

561 N Mountain Ave
Upland, CA 91786
Phone (909) 931-1069

12637 Hesperia Rd
Ste B
Victorville, CA 92395
Phone (760) 241-2250

750 N Commons Dr
Ste 200
Aurora, IL 60504

Organizations & group practices 3

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1255119236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-931-1069",
            "fax_number": "909-931-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 Canyon Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925076015",
            "country_code": "US",
            "telephone_number": "951-682-0739",
            "fax_number": "951-682-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12637 Hesperia Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957774",
            "country_code": "US",
            "telephone_number": "760-241-2250",
            "fax_number": "760-241-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8876",
            "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 May 2, 2024; 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.