Individual provider Active NPI

Carlos A Guerrero, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1699855080
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 8934 Issued in CA
Practice address
44725 10TH St W Ste 220
Lancaster, CA 93534-3048
Phone
(661) 726-3750
Fax
(661) 726-5013
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9118623 FL
Medical Physician Assistant 363AM0700X PA14013 CA
Family Nurse Practitioner 363LF0000X NP 8934 CA Primary

Addresses

Primary practice location

44725 10TH St W Ste 220
Lancaster, CA 93534-3048

Mailing address

44725 10TH St W Ste 220
Lancaster, CA 93534-3048
Phone (661) 726-3750

Other identifiers 4

IdentifierTypeStateIssuer
NP 8934OtherCAFNP CERTIFICATE
PA9118623OtherFLPA-C LICENSE
PA-C 14013OtherCAPA-C CERTIFICATE
RN 475753OtherCARN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611001046 CA Practitioner - Physician Assistant 8224383583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14013CAMDOccupational Therapist
PA14013CAMDMedical Physician Assistant
PA9118623FLMDMedical Physician Assistant
NP 8934CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: carlos.guerrero.1@23708.direct.athenahealth.com

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1699855080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W STE 220",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343048",
            "telephone_number": "661-726-3750",
            "fax_number": "661-726-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W STE 220",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343048",
            "telephone_number": "661-726-3750",
            "fax_number": "661-726-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118623",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 8934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERTIFICATE",
            "identifier": "NP 8934",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C LICENSE",
            "identifier": "PA9118623",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C CERTIFICATE",
            "identifier": "PA-C 14013",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN 475753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.