NPIMap

Individual provider Active NPI

Bernadette De Lara Guia, N.P.

  • Family Nurse Practitioner
  • Panorama City, CA
National Provider Identifier
1376911131
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19791 Issued in CA
Practice address
8215 Van Nuys Blvd
Suite 210
Panorama City, CA 91402-4810
Phone
(818) 901-0373
Fax
(818) 782-7320
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19791 CA Primary

Addresses

Primary practice location

8215 Van Nuys Blvd
Suite 210
Panorama City, CA 91402-4810

Mailing address

8215 Van Nuys Blvd
Suite 210
Panorama City, CA 91402-4810
Phone (818) 901-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530003068 CA Practitioner - Nurse Practitioner 4486678406 Reassigns benefits to 2 organizations
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1110 S Glendale Ave
Suite E
Glendale, CA 91205-5623
Phone (917) 687-7528

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19791CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mensa Family Clinic Inc CurrentSince Mar 10, 2021 Accepting new patients
La Foot and Ankle Institute PC CurrentSince Jun 19, 2024 Accepting new patients
San Fernando Mission Medical GRP Past Accepting new patients

Locations

1110 S Glendale Ave
Ste E
Glendale, CA 91205
Phone (818) 945-5502

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
City of Angels Best Care, Inc.Los Angeles, CA, CCN 058463 Home health agency W-2 Managing Employee Jul 1, 2010
Noho Home Health Care, Inc.North Hollywood, CA, CCN 059205 Home health agency W-2 Managing Employee Aug 15, 2011
Unison Inland Health Services IncLos Angeles, CA, CCN 559567 Home health agency W-2 Managing Employee (100%)
Operational/Managerial Control (100%)		 Jun 21, 2019
Jun 21, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1376911131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "SUITE 210",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-901-0373",
            "fax_number": "818-782-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "SUITE 210",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-901-0373",
            "fax_number": "818-782-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIA",
        "first_name": "BERNADETTE",
        "middle_name": "DE LARA",
        "name_prefix": "Miss",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.