Individual provider Active NPI

Christian De Guia, NP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720478829
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012378 Issued in IL
Practice address
840 W Irving Park Rd
Ste 301
Chicago, IL 60613-3011
Phone
(773) 975-3269
Fax
(773) 975-3270
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012378 IL Primary

Addresses

Primary practice location

840 W Irving Park Rd
Ste 301
Chicago, IL 60613-3011

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322001654 CA Practitioner - Nurse Practitioner 6406173491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

Practice addresses (Care Compare)

3232 Thunder Dr
Oceanside, CA 92056-4447
Phone (760) 724-2193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post-Acute Care of California PC Nurse Practitioner CurrentSince Jan 27, 2018 Accepting new patients
Careconnectmd Ca PC CurrentSince Sep 1, 2021 Accepting new patients
Omar Osman MD PC CurrentSince Feb 12, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

2221 Lincoln Park Ave
Los Angeles, CA 90031
Phone (323) 276-5700

1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

340 Northlake Dr
San Jose, CA 95117
Phone (408) 249-0344

1550 Silveira Pkwy
San Rafael, CA 94903
Phone (415) 446-3817

1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055

1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

2000 Westwood Rd
Vista, CA 92083
Phone (760) 630-2273

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

1260 Williams Way
Yuba City, CA 95991
Phone (530) 749-3000

5335 Wisconsin Ave NW
Ste 440
Washington, DC 20015
Phone (202) 364-0202

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1720478829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD",
            "address_2": "STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-975-3269",
            "fax_number": "773-975-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUIA",
        "first_name": "CHRISTIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.