Active NPI
James S. Guerrero PLLC
- Psychiatry Physician
- Edina, MN
National Provider Identifier
1669777835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19891
- Legal business name
- JAMES S. GUERRERO PLLC
- Practice address
- 5151 Edina Industrial Blvd
Ste 110
Edina, MN 55439-3013 - Phone
- (952) 842-0883
- NPI assigned
- Jan 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James S Guerrero, MD
- Title
- Owner
- Phone
- (952) 842-0883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19891 | MN | Primary |
Addresses
Primary practice location
5151 Edina Industrial Blvd
Ste 110
Edina, MN 55439-3013
Mailing address
5151 Edina Industrial Blvd
Ste 110
Edina, MN 55439-3013
Phone (952) 842-0883
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D16GU | Other | MN | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| 260001771 | Other | MN | MEDICARE PROVIDER NUMBER |
| 533283400 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- James S Guerrero PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Bloomington, MN
- NPI 1588871719
Locations
5151 Edina Industrial Blvd
Ste 110
Edina, MN 55439
Phone (952) 842-0883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295481600000",
"number": "1669777835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 EDINA INDUSTRIAL BLVD",
"address_2": "STE 110",
"city": "EDINA",
"state": "MN",
"postal_code": "554393013",
"telephone_number": "952-842-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 EDINA INDUSTRIAL BLVD",
"address_2": "STE 110",
"city": "EDINA",
"state": "MN",
"postal_code": "554393013",
"telephone_number": "952-842-0883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES S. GUERRERO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A",
"authorized_official_last_name": "GUERRERO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-842-0883",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "19891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "26D16GU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "260001771",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "533283400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.