Raquel Guevarra, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP5008197 Issued in CA

Practice address

3203 E Florence Ave
Huntington Park, CA 90255-5831

Phone

(323) 835-6310

NPI assigned

Feb 17, 2018

Last updated

Jan 17, 2019By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: raquel.guevarra.p1@direct.ccchcenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Practitioner Medical Group - a Professional Nursing Corp

  dba Advanced Practitioner Medical Group

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556

  Family

  Medicare reassignment Care Compare group NPD
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment NPD
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD
• Pediatric Affiliates Medical Group Inc

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1053410506
  NPD (past)

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1366942229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MISSION LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555831",
            "telephone_number": "323-835-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Mission Ln",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900475353",
            "country_code": "US",
            "telephone_number": "562-547-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "RAQUEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP5008197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Gudino-Gutierrez, LCSW #108785
• Nick Chavez Guerra
• Leticia Guerrero, R.N.
• Vanessa Guerrero
• Sara Junieth Guevara, LMFT
• Dalia C Guillen
• Fouad F Guirguis, PHARMACIST
• Alyssa Gutierrez
• Antoinette Gutierrez
• Miguel Angel Gutierrez

• Family Nurse Practitioner in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.