Individual provider Active NPI

Gina Guajardo, DC

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1295538080
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61659628 Issued in WA
Practice address
7504 86TH St SW Ste 150
Lakewood, WA 98498-6177
Phone
(253) 212-2036
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61659628 WA Primary

Addresses

Primary practice location

7504 86TH St SW Ste 150
Lakewood, WA 98498-6177

Mailing address

1222 S Grant Ave
Tacoma, WA 98405-3246
Phone (813) 955-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107002779 WA Practitioner - Chiropractic 4789174608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Lake Meridian ChiropracticGroup PAC ID 1850345786, 3 clinicians

Practice addresses (Care Compare)

12901 Sekent Kangley Rd
Kent, WA 98030-7939
Phone (253) 630-1575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61659628WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Meridian Chiropractic Chiropractor CurrentSince Oct 24, 2025 Accepting new patients
Jpete2, PLLC Chiropractor CurrentSince Mar 30, 2025 Accepting new patients

Locations

12901 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 630-1575

7504 86th St SW
Ste 150
Lakewood, WA 98498
Phone (253) 212-2036

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": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1295538080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S GRANT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053246",
            "telephone_number": "813-955-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 86TH ST SW STE 150",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986177",
            "telephone_number": "253-212-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61659628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.