NPIMap

Individual provider Active NPI

Kejing Guo

  • Pharmacist
  • Riverside, CA
National Provider Identifier
1487930376
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60856 Issued in CA
Practice address
2392 University Ave
Riverside
Riverside, CA 92507-4266
Phone
(949) 302-4258
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60856 CA Primary

Addresses

Primary practice location

2392 University Ave
Riverside
Riverside, CA 92507-4266

Mailing address

2392 University Ave
Riverside
Riverside, CA 92507-4266
Phone (949) 302-4258

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

LicenseStateTypeSpecialty
60856CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Enkeli Pharmacy Group Inc Current Accepting new patients
Hakeli Pharmacy Group, Inc. Current Accepting new patients

Locations

2392 University Ave
Riverside, CA 92507
Phone (949) 302-4258

Organizations & group practices 2

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1487930376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 UNIVERSITY AVE",
            "address_2": "RIVERSIDE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074266",
            "telephone_number": "949-302-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2392 UNIVERSITY AVE",
            "address_2": "RIVERSIDE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074266",
            "telephone_number": "949-302-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "KEJING",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.