Organization Active NPI

Shireen V Guide M D Inc

  • Dermatology Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1497098966
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A95744 Issued in CA
Legal business name
SHIREEN V GUIDE M D INC
Practice address
29829 Santa Margarita Pkwy
Suite 500
Rancho Santa Margarita, CA 92688-3622
Phone
(949) 858-3376
Fax
(949) 259-0010
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Shireen V. Guide, M.D.NPI 1033287180
Title
President
Phone
(949) 485-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A95744 CA Primary

Addresses

Primary practice location

29829 Santa Margarita Pkwy
Suite 500
Rancho Santa Margarita, CA 92688-3622

Mailing address

29829 Santa Margarita Pkwy Ste 500
Rancho Santa Margarita, CA 92688-3623
Phone (949) 485-1333

Other names 1

  • Mission Dermatology Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000267 CA Part B Supplier - Clinic/Group Practice 7810132388 Receives reassigned benefits from 2 practitioners
Practice locations: Rancho Santa Margarita, CA

National Provider Directory

National Provider Directory

Locations

629 Camino de los Mares
Ste 105
San Clemente, CA 92673
Phone (949) 858-3376

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1497098966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 SANTA MARGARITA PKWY STE 500",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883623",
            "telephone_number": "949-485-1333",
            "fax_number": "949-259-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 SANTA MARGARITA PKWY",
            "address_2": "SUITE 500",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883622",
            "telephone_number": "949-858-3376",
            "fax_number": "949-259-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIREEN V GUIDE M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GUIDE",
        "authorized_official_first_name": "SHIREEN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-485-1333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A95744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.