Active NPI
Rollena T Guachino, RN
- Nurse Practitioner
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPF95027567
- Practice address
- 77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018 - Phone
- (888) 777-1945
- Fax
- (805) 413-9099
- NPI assigned
- Aug 16, 2021
- Last updated
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPF95027567 | CA | Primary |
Addresses
Primary practice location
77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Mailing address
PO Box 25583
Pasadena, CA 91185-5583
Phone (805) 719-3700
Other practice location 1
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) | ||
| CONNECT URL | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95027567 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion4Health | Nurse Practitioner | Current | Accepting new patients |
| Indian Health Council, Inc | Current | Accepting new patients |
Locations
1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012
2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900
501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757
79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253
333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800
4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515
77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099
440 N Mountain Ave
Ste 103
Upland, CA 91786
50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410
Interoperability endpoints
- rguachino713057@direct.ochin.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Valley Center, CA
- NPI 1861449522
-
dba Infusion for Health
- Infusion Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1508262213
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1730854217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25583",
"city": "PASADENA",
"state": "CA",
"postal_code": "911855583",
"telephone_number": "805-719-3700",
"fax_number": "805-852-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ROLLING OAKS DR STE 201",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611018",
"telephone_number": "888-777-1945",
"fax_number": "805-413-9099"
}
],
"practiceLocations": [
{
"address_1": "50100 Golsh Rd",
"address_purpose": "LOCATION",
"city": "Valley Center",
"state": "CA",
"postal_code": "920825338",
"country_code": "US",
"telephone_number": "760-749-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUACHINO",
"first_name": "ROLLENA",
"middle_name": "T",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NPF95027567",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Valley Center",
"address_1": "50100 Golsh Rd",
"city": "Valley Center",
"state": "CA",
"country_code": "US",
"postal_code": "920825338",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "50100 Golsh Rd",
"city": "Valley Center",
"state": "CA",
"country_code": "US",
"postal_code": "920825338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.