Organization Active NPI

Victor M Guerrero MD Inc

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1700071420
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50302 Issued in CA
Legal business name
VICTOR M GUERRERO MD INC
Practice address
1145 E Clark Ave
Suite C
Santa Maria, CA 93455-5151
Phone
(805) 937-8560
Fax
(805) 937-0965
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Victor M Guerrero, MD
Title
Owner
Phone
(805) 937-8560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A50302 CA Primary

Addresses

Primary practice location

1145 E Clark Ave
Suite C
Santa Maria, CA 93455-5151

Mailing address

1145 E Clark Ave
Suite C
Santa Maria, CA 93455-5151
Phone (805) 937-8560

Other identifiers 1

IdentifierTypeStateIssuer
080142826OtherRAILROAD-MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1700071420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555151",
            "telephone_number": "805-937-8560",
            "fax_number": "805-937-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555151",
            "telephone_number": "805-937-8560",
            "fax_number": "805-937-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR M GUERRERO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-937-8560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD-MEDICARE",
            "identifier": "080142826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.