De Wayne D Dela Guerra, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

240-636 Issued in CA

Practice address

928 N Western Ave Apt 306
Los Angeles, CA 90029-3872

Phone

(619) 793-9848

Fax

(323) 544-0899

NPI assigned

Nov 27, 2012

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• International Medical Group Inc

  dba International Medical Group Inc Home Health & Hospice

  • Home Health Agency
  • Sherman Oaks, CA
  • NPI 1215464334
  NPD
• International Medical Group Inc, Home Healthcare & Hospice

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
  • NPI 1710590245
  NPD

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1457695736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74654",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900040654",
            "telephone_number": "619-793-9848",
            "fax_number": "323-417-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N WESTERN AVE APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293872",
            "telephone_number": "619-793-9848",
            "fax_number": "323-544-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA GUERRA",
        "first_name": "DE WAYNE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LPN02498",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "240-636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.nursedee.com",
            "affiliation": "N",
            "address_1": "928 N Western Ave Apt 306",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900293872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Del Villar
• Anne Janette Garduce Dela Cruz, NP
• Beatrice Dominique Dela Cruz
• Katrina Irene B Dela Cruz
• Nevaeh Rain Dela Cruz
• Cherry Marie Navarro Dela Pena, LMFT
• Mariarachelmerluza Dela Rosa, MS CCC SLP
• Alexander Delacruz Jr., CNS
• Marthie Delacruz
• Frederick P Delafield IV

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.