Nida Guantero Villa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

769816 Issued in CA

Practice address

2738 Griffith Ave
Clovis, CA 93611-5603

Phone

(216) 272-8511

NPI assigned

Oct 17, 2024

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

• Nida Caberte Guantero Former name

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1669293254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 GRIFFITH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115603",
            "telephone_number": "216-272-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 GRIFFITH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115603",
            "telephone_number": "216-272-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "NIDA",
        "middle_name": "GUANTERO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "769816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDA",
            "last_name": "GUANTERO",
            "middle_name": "CABERTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina M Vidal
• Regine Nicole Viduya
• Miguel Angel Vieyra, BCBA
• Adolf Alistair Dawis Villa
• Janyssa Villa
• David Roell Villalobos
• Simon Villalobos, LEP4493
• Bonnie Villanueva
• Sebastian Villasenor Gonzalez, LCSW, MSW,PPSC
• Monica Villasenor

• Registered Nurse in Clovis, CA
• Providers in Clovis, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.