Individual provider Active NPI

Kimberly V Guerrero, OTR/L

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1437906351
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24239 Issued in CA
Practice address
9610 Granite Ridge Dr Ste a
San Diego, CA 92123-2684
Phone
(858) 505-1400
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24239 CA Primary

Addresses

Primary practice location

9610 Granite Ridge Dr Ste a
San Diego, CA 92123-2684

Mailing address

2956 C St Unit 13
San Diego, CA 92102-4961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614003865 CA Practitioner - Occupational Therapist in Private Practice 5496298754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

8701 Cuyamaca St
Santee, CA 92071-4253
Phone (858) 499-2600

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24239CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 21, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 21, 2024 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

9610 Granite Ridge Dr
San Diego, CA 92123
Phone (858) 505-5400

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

9610 Granite Ridge Dr
Ste C
San Diego, CA 92123
Phone (760) 630-8400

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

9610 Granite Ridge Dr
Ste A
San Diego, CA 92123
Phone (858) 505-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1437906351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 C ST UNIT 13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 GRANITE RIDGE DR STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232684",
            "telephone_number": "858-505-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "KIMBERLY",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.