Individual provider Active NPI

Rollena T Guachino, RN

  • Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1730854217
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95027567 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 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

TypeEndpointUseAffiliation
CONNECT URL email Health Information Exchange (HIE)
CONNECT URL email 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110002366 CA Practitioner - Nurse Practitioner 9133576234 Reassigns benefits to 2 organizations

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
Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

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

LicenseStateTypeSpecialty
NPF95027567CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion4Health Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Indian Health Council, Inc CurrentSince Mar 18, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.