Individual provider Active NPI

Jin Guo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loma Linda, CA
National Provider Identifier
1538375217
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A107121 Issued in CA
Practice address
11234 Anderson St
Loma Linda, CA 92354-2804
Phone
(909) 558-4094
Fax
(909) 558-6425
NPI assigned
May 16, 2007
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A107121 CA Primary

Addresses

Primary practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Mailing address

409 Alster Ave
Arcadia, CA 91006-4818
Phone (909) 558-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000652 CA Practitioner - Pathology 1254587553 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula GastrointestinalGroup PAC ID 6204011471, 3 clinicians

Practice addresses (Care Compare)

100 S Ellsworth Ave
Suite 507
San Mateo, CA 94401-3929
Phone (650) 342-7432

100 S Ellsworth Ave
Suite 507
San Mateo, CA 94401-3939

250 S Grand Ave
Department of Pathology
Glendora, CA 91740-4218
Phone (626) 857-3120

3816 Woodruff Ave
Suite 411
Long Beach, CA 90808-2146
Phone (562) 485-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Quality
98.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
92.02
Promoting interoperability
100
Improvement activities
40
Cost
79.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A107121CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Shahrad Radi Shamsi, M.D. Inc. CurrentSince Sep 1, 2022 Accepting new patients
Peninsula Gastrointestinal CurrentSince May 10, 2024 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Erik Pasin MD Inc CurrentSince May 20, 2018 Accepting new patients
Benjamin Basseri MD Inc. CurrentSince Jan 5, 2019 Accepting new patients
Seper Dezfoli, MD, Inc CurrentSince Oct 10, 2023 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2012 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2012 Accepting new patients
Marc a. Edelstein, M.D., Inc. CurrentSince Nov 1, 2025 Accepting new patients
Onuma and Lee MD's PastSince Nov 5, 1999 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

150 N Robertson Blvd
Ste 204
Beverly Hills, CA 90211
Phone (310) 271-1122

369 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 422-5484

24321 Avenida de la Carlota
Ste H7
Laguna Hills, CA 92653
Phone (949) 768-6711

24953 Paseo de Valencia
Ste 15B
Laguna Hills, CA 92653
Phone (949) 206-0360

3816 Woodruff Ave
Ste 411
Long Beach, CA 90808
Phone (562) 257-6110

2355 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 966-7650

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

8631 W 3rd St
Ste 1015
Los Angeles, CA 90048
Phone (310) 652-4472

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

100 S Ellsworth Ave
Ste 507
San Mateo, CA 94401
Phone (650) 342-7432

2021 Santa Monica Blvd
Ste 325E
Santa Monica, CA 90404
Phone (310) 453-0504

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1538375217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALSTER AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064818",
            "telephone_number": "909-558-4094",
            "fax_number": "909-558-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4094",
            "fax_number": "909-558-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A107121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.