Individual provider Active NPI

Rita Paraiso Guiamelon, M.D.

  • Pediatrics Physician
  • Van Nuys, CA
National Provider Identifier
1699748301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A84265 Issued in CA
Practice address
7301 Sepulveda Blvd
Suite-3
Van Nuys, CA 91405-1782
Phone
(818) 786-7710
Fax
(818) 786-7711
NPI assigned
Feb 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A84265 CA Primary

Addresses

Primary practice location

7301 Sepulveda Blvd
Suite-3
Van Nuys, CA 91405-1782

Mailing address

6130 Bonner Ave
North Hollywood, CA 91606-4918
Phone (818) 980-6749

Other identifiers 3

IdentifierTypeStateIssuer
232930OtherNYMEDICAL LICENSE NUMBER
MD00040515OtherWAMEDICAL LICENSE NUMBER
A84265OtherCAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84265CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Hospital Past Accepting new patients
Roy Medical Group, Inc. PastSince Mar 1, 2015 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Guiamelon Medical Clinic, Inc. Pediatrics PastSince Jan 24, 2005 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699748301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BONNER AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064918",
            "telephone_number": "818-980-6749",
            "fax_number": "818-980-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SEPULVEDA BLVD",
            "address_2": "SUITE-3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051782",
            "telephone_number": "818-786-7710",
            "fax_number": "818-786-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIAMELON",
        "first_name": "RITA",
        "middle_name": "PARAISO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A84265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "232930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD00040515",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A84265",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.