Individual provider Active NPI

Carolyn Camille Guerrero, OTR

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1730953985
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25685 Issued in CA
Practice address
8996 Miramar Rd Ste 315
San Diego, CA 92126-4463
Phone
(619) 818-6873
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 25685 CA Primary

Addresses

Primary practice location

8996 Miramar Rd Ste 315
San Diego, CA 92126-4463

Mailing address

2849 Carmar Way
San Diego, CA 92139-3849
Phone (619) 772-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25685CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Handland Occupational Therapy PC CurrentSince May 16, 2024 Accepting new patients
Community Care Physical Therapy Inc. Occupational Therapist CurrentSince Nov 12, 2023 Accepting new patients
Soleimani Chiropractic P C CurrentSince May 16, 2024 Accepting new patients

Locations

8996 Miramar Rd
Ste 315
San Diego, CA 92126
Phone (619) 818-6873

7540 Metropolitan Dr
Ste 108
San Diego, CA 92108
Phone (619) 280-0201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1730953985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 CARMAR WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393849",
            "telephone_number": "619-772-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "619-818-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "CAROLYN",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.