Individual provider Active NPI

Patrick Guerrero, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Turlock, CA
National Provider Identifier
1699987040
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
20A1032 Issued in CA
Practice address
1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382-1546
Phone
(209) 216-5900
Fax
(209) 216-5909
NPI assigned
May 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 20A1032 CA Primary

Addresses

Primary practice location

1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382-1546

Mailing address

PO Box 2120
Turlock, CA 95381-2120
Phone (209) 216-5900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000259 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7719055284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Orthopedic Medical CorporationGroup PAC ID 2466595376, 2 clinicians

Practice addresses (Care Compare)

1051 E Tuolumne Rd
Suite 103
Turlock, CA 95382-1546
Phone (209) 216-5900

Hospital & facility affiliations

  • Covenant Care at Home Home health agency, Turlock, CA, CCN 057571
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)53
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10352CAMDMental Health Counselor
20A1032CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Orthopedic Medical Corporation Sports Medicine CurrentSince Jul 13, 2009 Accepting new patients
Central Cal Orthopedic Medical Associates, Inc. Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Locations

1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382
Phone (209) 216-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: patrick.guerrero@1280.chartlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1699987040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953812120",
            "telephone_number": "209-216-5900",
            "fax_number": "209-216-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E TUOLUMNE RD",
            "address_2": "STE 103",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821546",
            "telephone_number": "209-216-5900",
            "fax_number": "209-216-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.