Individual provider Active NPI

Vincent Raymond Guerena, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1295856409
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65658 Issued in CA
Practice address
4580 California Ave
Bakersfield, CA 93309-1104
Phone
(661) 327-4411
Fax
(661) 846-3983
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65658 CA Primary

Addresses

Primary practice location

4580 California Ave
Bakersfield, CA 93309-1104

Mailing address

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000779 CA Practitioner - Internal MedicinePractitioner - General Practice 9335190388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65658CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc Internal Medicine CurrentSince Aug 31, 2017 Accepting new patients
San Joaquin Valley Pulmonary Group Internal Medicine Past Accepting new patients
Central California Hospitalists Internal Medicine PastSince Dec 1, 2010 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

Interoperability endpoints

  • Direct secure messaging: vincent.guerena.p1@direct.bfmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vincent.guerena.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 4

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1295856409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-327-4411",
            "fax_number": "661-846-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091104",
            "telephone_number": "661-327-4411",
            "fax_number": "661-846-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERENA",
        "first_name": "VINCENT",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.