Organization Active NPI

Jose Guerra, D.O., Inc.

  • Hospitalist Physician
  • Huntington Beach, CA
National Provider Identifier
1417363649
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
8135 Issued in CA
Legal business name
JOSE GUERRA, D.O., INC.
Practice address
16371 Ace LN
Huntington Beach, CA 92649-2701
Phone
(714) 585-2563
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Jose Guerra, D.O.NPI 1346396645
Title
Owner
Phone
(714) 585-2563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 8135 CA Primary

Addresses

Primary practice location

16371 Ace LN
Huntington Beach, CA 92649-2701

Mailing address

16371 Ace LN
Huntington Beach, CA 92649-2701
Phone (714) 585-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017001381 CA Part B Supplier - Clinic/Group Practice 3870881352 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1417363649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16371 ACE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492701",
            "telephone_number": "714-585-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16371 ACE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492701",
            "telephone_number": "714-585-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GUERRA, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-585-2563",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "8135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.