Active NPI
Raeanne Clemens Guerra, PA-C
- Physician Assistant
- Moreno Valley, CA
National Provider Identifier
1427658376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58608
- Practice address
- 14114 Business Center Dr Ste a
Moreno Valley, CA 92553-9113 - Phone
- (951) 697-4133
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58608 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr Ste a
Moreno Valley, CA 92553-9113
Mailing address
7450 Northrop Dr Apt 363
Riverside, CA 92508-5013
Phone (253) 217-1769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58608 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosemarie Tweed, D.O., Apc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1043548985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1427658376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 NORTHROP DR APT 363",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085013",
"telephone_number": "253-217-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR STE A",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-697-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "RAEANNE",
"middle_name": "CLEMENS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.