Loida Vitan Guevarra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A53408 Issued in CA

Practice address

12760 Hesperia Rd
Ste a
Victorville, CA 92395-8305

Phone

(760) 955-1166

Fax

(760) 955-1499

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Home Health High Desert Home health agency, Hesperia, CA, CCN 059315

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBDAA

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.

• Loida V. Guevarra, M.D., Inc.

  • Primary Care Clinic/Center
  • Victorville, CA
  • NPI 1932186913

  Family Medicine

  Medicare reassignment NPD Authorized official
• Desert Valley Hospital, LLC

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)
• Avera St Marys

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pierre, SD
  • NPI 1144238619
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary High Desert Home Health Services, LLC

  • Home Health Agency
  • Hesperia, CA
  • NPI 1437484409
  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1346329331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD",
            "address_2": "STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958305",
            "telephone_number": "760-955-1166",
            "fax_number": "760-955-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD",
            "address_2": "STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958305",
            "telephone_number": "760-955-1166",
            "fax_number": "760-955-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "LOIDA",
        "middle_name": "VITAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID#",
            "identifier": "ZPBA08030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER ID#",
            "identifier": "00A534080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID#",
            "identifier": "046950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ha Bin Gu, PHARMD
• Daisy Guerrero, LVN
• Jordan Anthony Guerrero, CHW
• Laura Guerrero
• Michael Guerret, OD
• Isabelle Guiang, MSN, CPN, NP-C
• Adriana Guillen
• Trina Marie Guillen
• Anthony Guinn
• Pushpinder S Guleria, M.D.

• Family Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.