Active NPI
Karen Nelina Guillmeno, COUNSELOR
- Case Manager/Care Coordinator
- Inglewood, CA
National Provider Identifier
1457586554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 01-042823
- Practice address
- 8920 S 4TH Ave
Inglewood, CA 90305-2814 - Phone
- (323) 804-8802
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 01-042823 | CA | Primary |
Addresses
Primary practice location
8920 S 4TH Ave
Inglewood, CA 90305-2814
Mailing address
8920 S 4TH Ave
Inglewood, CA 90305-2814
Phone (323) 804-8802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-042823 | Other | CA | CERTIFIED ALCOHOLISM & OTHER DRUG ADDICTION SPECIALIST |
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 |
|---|---|---|---|
| 01-042823 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1457586554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 S 4TH AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903052814",
"telephone_number": "323-804-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 S 4TH AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903052814",
"telephone_number": "323-804-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLMENO",
"first_name": "KAREN",
"middle_name": "NELINA",
"name_prefix": "Mrs.",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "01-042823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ALCOHOLISM & OTHER DRUG ADDICTION SPECIALIST",
"identifier": "01-042823",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.