Nicolle Guevara, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18717 Issued in CA

Practice address

1514 17TH St Ste 203
Santa Monica, CA 90404-3444

Phone

(323) 379-9854

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1578132650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 HARVEST MOON ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441638",
            "telephone_number": "626-917-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 17TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043444",
            "telephone_number": "323-379-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "NICOLLE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nai-Qiang Gu, L.AC
• Dustin James Guay, CCC-SLP
• Luis Miguel Guerra, D.D.S.
• Ruby Guerrero-Hoffman, CCC-SLP
• Anthony Joseph Guerrero, DDS
• Kara Guilfoyle
• Thais Guimaraes, LMFT
• Noah Rey Alparce Guinto, PA-C
• Magdy S Guirguis, D.C.
• Katie Gumberg, MS

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.