Active NPI
Paul Guerrero, D.C.
- Sports Physician Chiropractor
- Vista, CA
National Provider Identifier
1487829198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC 21340
- Practice address
- 707 Escondido Ave
Suite 108
Vista, CA 92084-6160 - Phone
- (760) 630-6013
- Fax
- (760) 630-6088
- NPI assigned
- Apr 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC 21340 | CA | Primary |
Addresses
Primary practice location
707 Escondido Ave
Suite 108
Vista, CA 92084-6160
Mailing address
707 Escondido Ave
Suite 108
Vista, CA 92084-6160
Phone (760) 630-6013
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 |
|---|---|---|---|
| DC 21340 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1487829198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 ESCONDIDO AVE",
"address_2": "SUITE 108",
"city": "VISTA",
"state": "CA",
"postal_code": "920846160",
"telephone_number": "760-630-6013",
"fax_number": "760-630-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 ESCONDIDO AVE",
"address_2": "SUITE 108",
"city": "VISTA",
"state": "CA",
"postal_code": "920846160",
"telephone_number": "760-630-6013",
"fax_number": "760-630-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "PAUL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC 21340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.