Haidy Samuel Guirguis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009589 Issued in CA

Practice address

1262 E Ada Ave
Glendora, CA 91741-3782

Phone

(626) 327-2011

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haidy.guirguis.1@32527.direct.athenahealth.com

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.

• Huntington Specialist & Nursing Corporation

  • Hospitalist Physician
  • Monrovia, CA
  • NPI 1912378324
  Medicare reassignment Care Compare group
• Albion Medical Partners of California West P C

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607
  Medicare reassignment NPD
• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment NPD
• Redlands Family Practice Medical Group Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1942482021
  Medicare reassignment NPD
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  Medicare reassignment
• Redlands Family Physicians Medical Associates, Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1053390997
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Veritas Health Services, LLC

  • General Acute Care Hospital
  • Chino, CA
  • NPI 1962407460
  Care Compare affiliation

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1639651995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 E ADA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413782",
            "telephone_number": "626-327-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E ADA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413782",
            "telephone_number": "626-327-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "HAIDY",
        "middle_name": "SAMUEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceful Hospice Care Inc
• Wanda Lou Griffin, RN
• Judy Elizabeth Grover, LMFT
• Audrey Guentert, PTA
• Michelle Grace Reotutar Guerrero
• Maged Guirguis
• Erik Gullen, PT
• Kristin Michelle Gullen, DPT
• Gunupati V Chelvapilla MD,Medical Corporation
• Gurjeet Kalkat LLC

• Family Nurse Practitioner in Glendora, CA
• Providers in Glendora, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.