Active NPI
Shireen V Guide M D Inc
- Dermatology Physician
- Rancho Santa Margarita, CA
National Provider Identifier
1497098966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A95744
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shireen V. Guide, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dermatology Physician
- Palo Alto, CA
- NPI 1033287180
-
- Dermatology Physician
- Glendora, CA
- NPI 1306257381
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.