Brett Guimard, D.C., LAC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

30512 Issued in CA

Practice address

2800 Olympic Pkwy
Chula Vista, CA 91915-6007

Phone

(619) 213-7743

NPI assigned

Dec 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern California University of Health Sciences

  • Chiropractor
  • Whittier, CA
  • NPI 1881764322

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1679802227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 OLYMPIC PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919156007",
            "telephone_number": "619-213-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 OLYMPIC PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919156007",
            "telephone_number": "619-213-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIMARD",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C., LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "30512",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Guillen-Ibarra
• Angelica Lizardi Guillen
• Ernestina Guillen, IMF
• Ashlae Guilliams
• Paulo Guillinta, M.D.
• Jennifer Alicia Gulley
• Mahlani Rose-Mary Gumabon England
• Daniel Guptill
• Dawnn Marie Mendoza Guray, LCSW
• Elizabeth Juarez Gurrola

• Sports Physician Chiropractor in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.