Mary Jane Guerrero, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001379 Issued in CA

Practice address

11257 Rudman Dr
Culver City, CA 90230-5503

Phone

(714) 318-4579

NPI assigned

Jan 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1316484793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11257 RUDMAN DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11257 RUDMAN DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305503",
            "telephone_number": "714-318-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARY JANE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001379",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "685076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griff C Guenther, LMFT
• Melissa Guerra
• Alexander Joseph Guerrero
• Alma Guerrero
• Cindy Karina Miranda Guerrero, ACSW
• Paola Sachell Guerrero
• Perry Dueno Guerrero
• Ma Josephine Guevara
• Laura Guevara, RBT
• Isabelle Petrache Guevarra

• Family Nurse Practitioner in Culver City, CA
• Providers in Culver City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.