NPIMap

Individual provider Active NPI

Roberto Pablo Guerrero, MD

  • Internal Medicine Physician
  • Sun Valley, CA
National Provider Identifier
1679150957
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A196098 Issued in CA
Practice address
9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone
(818) 768-3000
NPI assigned
Mar 24, 2021
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X A196098 CA Primary

Addresses

Primary practice location

9375 San Fernando Rd
Sun Valley, CA 91352-1428

Mailing address

9375 San Fernando Rd
Sun Valley, CA 91352-1428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217003069 CA Practitioner - Internal Medicine 8022408194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SFV Health Center, Inc.Group PAC ID 2264838796, 3 clinicians

Practice addresses (Care Compare)

8426 Sunland Blvd
Sun Valley, CA 91352-3436
Phone (815) 504-4514

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A196098CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc Internal Medicine CurrentSince Dec 13, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Serra Community Medical Clinic, Inc. Internal Medicine CurrentSince Dec 13, 2024 Accepting new patients
SFV Health Center Inc Internal Medicine CurrentSince Dec 27, 2024 Accepting new patients
SFV Health Center Inc CurrentSince Dec 27, 2024 Accepting new patients

Locations

8426 Sunland Blvd
Sun Valley, CA 91352
Phone (815) 504-4514

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

9375 San Fernando Rd
Ste 2A
Sun Valley, CA 91352
Phone (818) 504-4514

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rguerrero139836@direct.luhs.org

Organizations & group practices 5

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1679150957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521428",
            "telephone_number": "818-768-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ROBERTO",
        "middle_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.