Individual provider Active NPI

Athenia B Guerrero, O.T.

  • Occupational Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1295954279
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3596 Issued in CA
Practice address
8540 Archibald Ave
Suite D
Rancho Cucamonga, CA 91730-4662
Phone
(909) 987-4242
Fax
(909) 987-4277
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3596 CA Primary

Addresses

Primary practice location

8540 Archibald Ave
Suite D
Rancho Cucamonga, CA 91730-4662

Mailing address

1230 E Washington St
Suite 2
Colton, CA 92324-6450
Phone (909) 825-6716

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3596CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapy Network Incorporated Occupational Therapist Past Accepting new patients
United Therapy Network Incorporated Occupational Therapist Past Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1295954279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246450",
            "telephone_number": "909-825-6716",
            "fax_number": "909-825-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 ARCHIBALD AVE",
            "address_2": "SUITE D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304662",
            "telephone_number": "909-987-4242",
            "fax_number": "909-987-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ATHENIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.