Individual provider Active NPI

Sydney Shuo-Yi Guo, MD

  • Vascular Surgery Physician
  • Ventura, CA
National Provider Identifier
1619922291
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A68397 Issued in CA
Practice address
100 North Brent Street
Ste 201
Ventura, CA 93003
Phone
(805) 643-3330
Fax
(805) 643-3331
NPI assigned
May 23, 2006
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101239726 VA
Surgery Physician 208600000X 0101239726 VA
Vascular Surgery Physician 2086S0129X 0101239726 VA
Vascular Surgery Physician 2086S0129X A68397 CA Primary

Addresses

Primary practice location

100 North Brent Street
Ste 201
Ventura, CA 93003

Mailing address

100 North Brent Street
Ste 201
Ventura, CA 93003
Phone (805) 643-3330

Other identifiers 1

IdentifierTypeStateIssuer
010280338MedicaidVA

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
I20050421000437 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 5395783229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin M Casey MD ApmcGroup PAC ID 8729411046, 4 clinicians

Practice addresses (Care Compare)

2605 Loma Vista Rd
Ventura, CA 93003-1548
Phone 8054568890127

2621 De la Vina St
Santa Barbara, CA 93105-3823
Phone 8054568890127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal42
Leg revascularization (restoring blood flow)67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68397CAMDClinical Social Worker
A68397CAMDVascular Surgery Physician
0101239726VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M Casey MD Apmc Vascular Surgery CurrentSince Jan 1, 2022 Accepting new patients
Community Memorial Health System Past Accepting new patients
Central Coast Cardiovascular ASC LLC PastSince May 3, 2017 Accepting new patients
County of Ventura Past Accepting new patients

Locations

2051 Solar Dr
Ste 150
Oxnard, CA 93036
Phone (805) 456-8890

1919 State St
Ste 204
Santa Barbara, CA 93101
Phone (805) 456-8890

2621 De la Vina St
Santa Barbara, CA 93105
Phone (805) 456-8890

2605 Loma Vista Rd
Ventura, CA 93003
Phone (805) 648-2227

Interoperability endpoints

  • Direct secure messaging: sydneyguo@wcv.allscriptsdirect.net

Organizations & group practices 4

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 12

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1619922291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH BRENT STREET",
            "address_2": "STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH BRENT STREET",
            "address_2": "STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "SYDNEY",
        "middle_name": "SHUO-YI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101239726",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101239726",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101239726",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A68397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010280338",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.