Lucy Xunyang Guo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107693 Issued in CA

Practice address

12572 Caminito de la Gallarda
San Diego, CA 92128-2376

Phone

(858) 261-1829

NPI assigned

Aug 9, 2022

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

Other names 1

• Dr. Xunyang Guo Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1669100582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12572 CAMINITO DE LA GALLARDA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282376",
            "telephone_number": "858-261-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12572 CAMINITO DE LA GALLARDA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282376",
            "telephone_number": "858-261-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "LUCY",
        "middle_name": "XUNYANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XUNYANG",
            "last_name": "GUO",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Renn Gunther, CNM
• Alexander Young-Shyang Guo, PHARM.D.
• Grace Crystal Guo
• Jianxia Guo, LAC
• Kathy Guo, MD
• Naijia Guo
• Theresa Wen Wen Guo, M.D.
• Wenji Guo, MD
• Yuchi Guo
• Aamisha Gupta, M.D.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.