Brianne Guevara, CPNP-AC/PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95021684 Issued in CA

Practice address

2486 N Ponderosa Dr Ste D211
Camarillo, CA 93010-2470

Phone

(805) 484-2818

NPI assigned

Jul 27, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pleasant Valley Pediatric Medical Group

  • Pediatrics Physician
  • Camarillo, CA
  • NPI 1942417340
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1356077739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR STE D211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR STE D211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102470",
            "telephone_number": "805-484-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "BRIANNE",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95021684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Guerrero
• Breanna Marie Guerrero, MA, LMFT
• Diana M Guerrero, LMFT
• Jason Guerrero
• Virginia Guerrero
• Yuridia Aime Guevara
• Marcos Guillen, CHEMICAL DEPENDENCY
• Jennifer Ann Guintu
• Pariksha Gunnala, DDS
• Laura Linda Gutierrez Woolridge, LCSW LCS 25679

• Pediatric Nurse Practitioner in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.