London Anastacia Guinan, R.N.
Individual provider Active NPI Registered Nurse · Lathrop, CA
NPI 1497935035 · NPPES record last updated Nov 12, 2007
Key facts
- NPI
- 1497935035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 554003 (CA)
- Practice address
- 801 Trestle PT
Lathrop, CA 95330-8644 - Phone
- (510) 612-0469
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554003 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 554003 | CA | Yes |
| Case Management Registered Nurse | 163WC0400X | 554003 | CA |
Addresses
Primary practice location
801 Trestle PT
Lathrop, CA 95330-8644
Mailing address
801 Trestle PT
Lathrop, CA 95330-8644
Phone (510) 612-0469
Other providers in Lathrop, CA
- Golden Valley Imaging
- Kristopher Gonzalez-Moffitt
- Myranda Marie Gouin
- Tiruwork Abebe Guangul
- Kelsey Guidicatti
- Fabiola Gutierrez
- Maria Guzman-Silva
- Harinder Paul Singh DDS Inc
- Jamie Harris
- Doreatia Lelin Hart
All providers in Lathrop, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.