Individual provider Active NPI

Daisy J. Guevara, MD

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1396740932
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48966 Issued in CA
Practice address
3650 E. South St.
Ste 303
Lakewood, CA 90712
Phone
(562) 923-4911
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A48966 CA Primary

Addresses

Primary practice location

3650 E. South St.
Ste 303
Lakewood, CA 90712

Mailing address

3650 E. South St.
Ste 303
Lakewood, CA 90712

Other identifiers 1

IdentifierTypeStateIssuer
00A489660OtherCAMEDICAL #

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000340 CA Practitioner - Internal Medicine 8921043316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48966CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Talbert Medical Group, P.C. Internal Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

3650 South St
Ste 303
Lakewood, CA 90712
Phone (563) 633-9734

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864

Interoperability endpoints

  • Direct secure messaging: daisyguevara@hcpca.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1396740932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST.",
            "address_2": "STE 303",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST.",
            "address_2": "STE 303",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-923-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "DAISY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL #",
            "identifier": "00A489660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.