Active NPI
David Justin Guthrie, RN, CRNA
- Certified Registered Nurse Anesthetist
- Loris, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 18735
- Practice address
- 3655 Mitchell St
Loris, SC 29569-2827 - Phone
- (562) 547-7067
- NPI assigned
- Jan 14, 2014
- Last updated
- Mar 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 18735 | SC | Primary |
| Registered Nurse | 163W00000X | 715344 | CA | |
| Registered Nurse | 163W00000X | 212780 | SC | |
| Registered Nurse | 163W00000X | 217687 | GA | |
| Registered Nurse | 163W00000X | 587902 | PA |
Addresses
Primary practice location
3655 Mitchell St
Loris, SC 29569-2827
Mailing address
131 Wildberry LN
Goose Creek, SC 29445-7751
Phone (562) 547-7067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Phone (714) 533-6220
2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011
2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18735 | SC | MD | Clinical Social Worker |
| 217687 | GA | MD | Registered Nurse |
| 587902 | PA | MD | Registered Nurse |
| 212780 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Regents of the University of | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 4
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.
-
dba University Anesthesia Associates
- Anesthesiology Physician
- Orange, CA
- NPI 1487602546
-
dba Seven Star Radiology
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1497177216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 WILDBERRY LN",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457751",
"telephone_number": "562-547-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692827",
"telephone_number": "562-547-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "DAVID",
"middle_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-14",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "18735",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "715344",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "212780",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "217687",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "587902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.