Individual provider Active NPI

Lily Amber Guerrero, OTR/L, SPT, MOT

  • Occupational Therapist
  • Carlsbad, CA
National Provider Identifier
1700219797
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13264 Issued in CA
Practice address
3140 El Camino Real
Carlsbad, CA 92008-2108
Phone
(760) 720-9898
Fax
(760) 720-1636
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13264 CA Primary

Addresses

Primary practice location

3140 El Camino Real
Carlsbad, CA 92008-2108

Mailing address

40680 California Oaks Rd
Ste 2a
Murrieta, CA 92562-5755
Phone (800) 944-9782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715000802 CA Practitioner - Occupational Therapist in Private Practice 0143445759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

15004 Innovation Dr
San Diego, CA 92128-3498
Phone (858) 487-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT13264CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince May 10, 2021 Accepting new patients
Scripps Health CurrentSince May 10, 2021 Accepting new patients
The Rehab Group Occupational Therapist CurrentSince Jul 2, 2014 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
Good Samaritan Health Center of Cobb PastSince Aug 28, 2017 Accepting new patients

Locations

1092 N El Camino Real
Encinitas, CA 92024
Phone (760) 633-6035

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800

15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800

Organizations & group practices 6

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1700219797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "STE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082108",
            "telephone_number": "760-720-9898",
            "fax_number": "760-720-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LILY",
        "middle_name": "AMBER",
        "credential": "OTR/L, SPT, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT13264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.