Kristine Elizabeth Guzman-Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115831 Issued in CA

Practice address

625 Fair Oaks Ave Ste 300
South Pasadena, CA 91030-5805

Phone

(626) 441-4221

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Campbell, CA
  • NPI 1255496105

  Case Manager/Care Coordinator

  Medicare reassignment NPD
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1336458934

  Case Manager/Care Coordinator

  NPD
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1548928013

  Case Manager/Care Coordinator

  NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Orange, CA
  • NPI 1326641671
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1356900138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10582 STERN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435142",
            "telephone_number": "714-343-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 300",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305805",
            "telephone_number": "626-441-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 S Anita Dr Ste 102-104",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683355",
            "country_code": "US",
            "telephone_number": "714-410-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN-HERNANDEZ",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "115831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Julissa Guevara-Dominguez
• Lisa Gutierrez, M.S., M.A.
• Ninnette Gutierrez, LCSW
• Rebecca Gutierrez
• Shaunda Guy, AMFT120050
• Angel Guzman
• Bianca Guzman
• Jennifer Guzman
• Tracy Ha, D.D.S.
• Loreen K. Haddad, PA-C

• Clinical Social Worker in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.