Osvaldo Guerra, RADTI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1501120323 Issued in CA

Practice address

2052 Lake Ave Ste F
Altadena, CA 91001-2460

Phone

(626) 398-3897

NPI assigned

Mar 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pax House Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Altadena, CA
  • NPI 1518455302
  NPD (past)

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1750086609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 LAKE AVE STE F",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012460",
            "telephone_number": "626-398-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 LAKE AVE STE F",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012460",
            "telephone_number": "626-398-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "OSVALDO",
        "name_prefix": "Mr.",
        "credential": "RADTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1501120323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Ann Griffith, OTR
• Growing Pains Individual, Family, and Couples Theraputic Services (Growing Pains)
• Aviv Michael Gruen
• Marc Grun, RPH
• Guardian Spirit Hospice, Inc.
• Patricia Guizar
• Jennifer Gustafson, AMFT
• Jocelyn Marie Guzman
• Michael James Haggins Jr., LVN
• Gayane Marie Hagopian, PHARMD

• Addiction (Substance Use Disorder) Counselor in Altadena, CA
• Providers in Altadena, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.