Active NPI
Briccio J Guillermo, PA-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68914
- Practice address
- 400 Parnassus Ave FL 2
San Francisco, CA 94143-2202 - Phone
- (415) 353-2739
- Fax
- (415) 353-2919
- NPI assigned
- Nov 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA60452827 | WA | |
| Physician Assistant | 363A00000X | PA68914 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA68914 | CA |
Addresses
Primary practice location
400 Parnassus Ave FL 2
San Francisco, CA 94143-2202
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201
Phone (425) 313-7077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417291600 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000
550 17TH Ave
Seattle, WA 98122-5789
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60452827 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1417291600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-2739",
"fax_number": "415-353-2919"
}
],
"practiceLocations": [
{
"address_1": "751 NE Blakely Dr Ste 4020",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "425-313-7077",
"fax_number": "425-313-7072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLERMO",
"first_name": "BRICCIO",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-12",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60452827",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68914",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA68914",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417291600",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.