Active NPI
Adilene Guerra
- Licensed Psychiatric Technician
- Los Angeles, CA
National Provider Identifier
1437503125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 37723
- Practice address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008-1821 - Phone
- (323) 751-3026
- NPI assigned
- Apr 19, 2016
- Last updated
- Apr 9, 2024
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 37723 | CA | Primary |
Addresses
Primary practice location
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Mailing address
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026
Other practice location 1
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931
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 |
|---|---|---|---|
| 37723 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1437503125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-3026"
}
],
"practiceLocations": [
{
"address_1": "155 N Occidental Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264641",
"country_code": "US",
"telephone_number": "213-381-2931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRA",
"first_name": "ADILENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "37723",
"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 Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.