Organization Active NPI

Dr. Michael Guarnotta Inc.

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1720026149
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7479T Issued in CA
Legal business name
DR. MICHAEL GUARNOTTA INC.
Practice address
1071 Broadway
El Cajon, CA 92021-4804
Phone
(619) 442-6686
Fax
(619) 442-8023
NPI assigned
Jun 4, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Michael Joseph Guarnotta, O.D.
Title
President
Phone
(619) 442-6686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7479T CA Primary

Addresses

Primary practice location

1071 Broadway
El Cajon, CA 92021-4804

Mailing address

1071 Broadway
El Cajon, CA 92021-4804
Phone (619) 442-6686

Other identifiers 1

IdentifierTypeStateIssuer
GSD000870MedicaidCA

National Provider Directory

National Provider Directory

Locations

1071 Broadway
El Cajon, CA 92021
Phone (619) 442-6686

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1720026149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214804",
            "telephone_number": "619-442-6686",
            "fax_number": "619-442-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214804",
            "telephone_number": "619-442-6686",
            "fax_number": "619-442-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL GUARNOTTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GUARNOTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-442-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7479T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.