Individual provider Active NPI

Britt-Mary Guerre-Aguilar, CPO

  • Orthotist
  • Redlands, CA
National Provider Identifier
1356645386
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CPO 1881 Issued in CA
Practice address
1150 Brookside Ave Ste J5
Redlands, CA 92373-6303
Phone
(909) 793-5226
Fax
(909) 793-2787
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CPO 1881 CA Primary
Prosthetist 224P00000X CPO 1881 CA

Addresses

Primary practice location

1150 Brookside Ave Ste J5
Redlands, CA 92373-6303

Mailing address

1150 Brookside Ave Ste J5
Redlands, CA 92373-6303
Phone (909) 793-5226

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO 1881CAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
White Chiropractic Inc. PastSince Aug 15, 2011 Accepting new patients

Organizations & group practices 1

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1356645386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BROOKSIDE AVE STE J5",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736303",
            "telephone_number": "909-793-5226",
            "fax_number": "909-793-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BROOKSIDE AVE STE J5",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736303",
            "telephone_number": "909-793-5226",
            "fax_number": "909-793-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRE-AGUILAR",
        "first_name": "BRITT-MARY",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CPO 1881",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CPO 1881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.