Individual provider Active NPI

Oscar Salomon Gudino, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Torrance, CA
National Provider Identifier
1639620370
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3440 Torrance Blvd Ste 104
Torrance, CA 90503-5805
Phone
(310) 787-1335
Fax
(310) 787-1809
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA Primary

Addresses

Primary practice location

3440 Torrance Blvd Ste 104
Torrance, CA 90503-5805

Mailing address

3440 Torrance Blvd Ste 104
Torrance, CA 90503-5805
Phone (310) 787-1335

Other practice location 1

24953 Paseo De Valencia Ste 1B
Laguna Hills, CA 92653-4340
Phone (949) 540-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Town Corporation PastSince Jul 27, 2020 Accepting new patients
Twin Town Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1639620370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 TORRANCE BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035805",
            "telephone_number": "310-787-1335",
            "fax_number": "310-787-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TORRANCE BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035805",
            "telephone_number": "310-787-1335",
            "fax_number": "310-787-1809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24953 Paseo De Valencia Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534340",
            "country_code": "US",
            "telephone_number": "949-540-0170",
            "fax_number": "949-540-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDINO",
        "first_name": "OSCAR",
        "middle_name": "SALOMON",
        "credential": "CADCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.