Organization Active NPI

Richard Guest MD, a Professional Medical Corporation

  • Vascular Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1407246408
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A33685 Issued in CA
Legal business name
RICHARD GUEST MD, A PROFESSIONAL MEDICAL CORPORATION
Practice address
15478 Duomo Via St
Los Angeles, CA 90077-1515
Phone
(310) 507-5099
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Richard Allan Guest, MD
Title
President
Phone
(310) 507-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X A33685 CA Primary

Addresses

Primary practice location

15478 Duomo Via St
Los Angeles, CA 90077-1515

Mailing address

PO Box 12325
La Crescenta, CA 91224-5325
Phone (310) 507-5099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1407246408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12325",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912245325",
            "telephone_number": "310-507-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15478 DUOMO VIA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771515",
            "telephone_number": "310-507-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GUEST MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-507-5099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A33685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.