Individual provider Active NPI

Justine Carlo Garcia Guevarra, MD

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1720710981
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A201560 Issued in CA
Practice address
1031 Waterloo Rd
Stockton, CA 95205-4256
Phone
(209) 373-2800
NPI assigned
Jun 27, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A201560 CA Primary

Addresses

Primary practice location

1031 Waterloo Rd
Stockton, CA 95205-4256

Mailing address

7318 La Granada Dr
Houston, TX 77083-4024
Phone (570) 677-5525

Other practice location 1

747 E Channel St
Stockton, CA 95202-2628
Phone (209) 373-2800

Other practice location 2

701 E Channel St
Stockton, CA 95202-2628
Phone (209) 373-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address guevarraj@thewrightcenter.org Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002097 CA Practitioner - Family Practice 4284018169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Centers, Inc.Group PAC ID 8426968520, 47 clinicians

Practice addresses (Care Compare)

701 E Channel St
Stockton, CA 95202-2628
Phone (209) 944-4700

747 E Channel St
Stockton, CA 95202-2628
Phone (209) 940-4670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A201560CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc CurrentSince Aug 18, 2025 Accepting new patients
Community Medical Centers Inc CurrentSince Aug 18, 2025 Accepting new patients

Locations

1031 Waterloo Rd
Stockton, CA 95205
Phone (209) 940-5600

701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: guevarraj@thewrightcenter.org
  • Direct secure messaging: jguevarra825096@direct.ochin.org

Organizations & group practices 3

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1720710981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 LA GRANADA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770834024",
            "telephone_number": "570-677-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054256",
            "telephone_number": "209-373-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 E Channel St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022628",
            "country_code": "US",
            "telephone_number": "209-373-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Channel St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022628",
            "country_code": "US",
            "telephone_number": "209-373-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "JUSTINE CARLO",
        "middle_name": "GARCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A201560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "guevarraj@thewrightcenter.org",
            "affiliation": "N",
            "endpointDescription": "This is my email used during work.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 S Washington Ave Ste 1000",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185053814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.