Active NPI
Jessica Lee Guevara-Galan, BSN,MSN, WHNP
- Women's Health Nurse Practitioner
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95001974
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95001974 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Valley Physician Partners | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Emanate Health Medical Group | Current | Accepting new patients | |
| Emanate Health Medical Care Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Emanate Health Medical Group | Current | 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.
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba Foothill Family Practice
- Family Medicine Physician
- Glendora, CA
- NPI 1326582743
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Specialist
- West Covina, CA
- NPI 1043703150
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Foothill Presbyterian Hospital
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
dba Emanate Health Inter-Community Hospital
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.