Individual provider Active NPI

Mikaela Villosillo Guevarra

  • Student in an Organized Health Care Education/Training Program
  • Petaluma, CA
National Provider Identifier
1700707098
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1900 S McDowell Blvd
Petaluma, CA 94954-5473
Phone
(707) 699-6100
Fax
(707) 699-6050
NPI assigned
Jul 22, 2026
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

1900 S McDowell Blvd
Petaluma, CA 94954-5473

Mailing address

5786 Belleview Ave Apt B
Sacramento, CA 95824-2172
Phone (707) 699-6100

Other names 1

  • Mika Guevarra Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1700707098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5786 BELLEVIEW AVE APT B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958242172",
            "telephone_number": "707-699-6100",
            "fax_number": "707-699-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545473",
            "telephone_number": "707-699-6100",
            "fax_number": "707-699-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "MIKAELA",
        "middle_name": "VILLOSILLO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKA",
            "last_name": "GUEVARRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.