Individual provider Active NPI

Jessica Lee Guevara-Galan, BSN,MSN, WHNP

  • Women's Health Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1558728717
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95001974 Issued in CA
Practice address
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Phone
(626) 732-8391
NPI assigned
Jan 19, 2016
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95001974 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921

Mailing address

19728 E Navilla PL
Covina, CA 91724-3474
Phone (951) 764-5422

Other practice location 1

1045 Atlantic Ave Ste 508
Long Beach, CA 90813-3411
Phone (562) 437-1882

Other practice location 2

1855 N Fair Oaks Ave
Pasadena, CA 91103-1620
Phone (626) 398-6300

Other practice location 3

101 Laguna Rd Ste 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jguevaragalan1373069@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412001467 CA Practitioner - Nurse Practitioner 9436412673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

1135 S Sunset Ave
Suite 401
West Covina, CA 91790-3921
Phone (626) 732-8391

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001974CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Jul 1, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Emanate Health Medical Group Current Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2019 Accepting new patients
Emanate Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

101 Laguna Rd
Ste 100
Fullerton, CA 92835

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 4

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1558728717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19728 E NAVILLA PL",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243474",
            "telephone_number": "951-764-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 401",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903921",
            "telephone_number": "626-732-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Atlantic Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133411",
            "country_code": "US",
            "telephone_number": "562-437-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911031620",
            "country_code": "US",
            "telephone_number": "626-398-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Laguna Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353601",
            "country_code": "US",
            "telephone_number": "714-992-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA-GALAN",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "BSN,MSN, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jguevaragalan1373069@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 Laguna Rd Ste 100",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.