Zhixin Guan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

009753 Issued in CT

Practice address

3251 S Sepulveda Blvd
Apt. 106
Los Angeles, CA 90034-4211

Phone

(415) 606-0197

NPI assigned

Jul 20, 2007

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1366642076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 S SEPULVEDA BLVD",
            "address_2": "APT. 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344211",
            "telephone_number": "415-606-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 S SEPULVEDA BLVD",
            "address_2": "APT. 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344211",
            "telephone_number": "415-606-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "ZHIXIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009753",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huimin Guan, RN, RRT, RCP
• Jay Guan, M.D.
• Kevin Guan
• Michelle Guan, MD
• Shirley Qingxiang Guan
• Jessica R Guana, MSW
• Eduardo Guandique Jr.
• William Edenilson Guandique, R1612740525
• Lisa Valeria Guardado Lopez
• Alexandra Guardado

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.