Lisa E. Guerra, M.D., Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A95743 Issued in CA

Legal business name

LISA E. GUERRA, M.D., INC

Practice address

One Hoag Dr., Hoag Breast Center
Sue and Bill Gross Women'S Pavilion
Newport Beach, CA 92663-4162

Phone

(949) 764-8281

Fax

(949) 764-8236

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Lisa E Guerra, MD

Title

Owner

Phone

(949) 764-8281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1295902070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 17TH ST",
            "address_2": "SUITE 270",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807902",
            "telephone_number": "949-764-8281",
            "fax_number": "949-764-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOAG DR., HOAG BREAST CENTER",
            "address_2": "SUE AND BILL GROSS WOMEN'S PAVILION",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-8281",
            "fax_number": "949-764-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA E. GUERRA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-764-8281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A95743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AZ630B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.