Organization Active NPI

Guesthouse Medical

  • Primary Care Clinic/Center
  • Arcadia, CA
National Provider Identifier
1770090433
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GUESTHOUSE MEDICAL
Practice address
140 E Santa Clara St Ste 22
Arcadia, CA 91006-3217
Phone
(626) 399-5426
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Nayiri Zetlian Ketchedjian, FNP-BCNPI 1316256548
Title
Nurse Practitioner
Phone
(626) 399-5426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

140 E Santa Clara St Ste 22
Arcadia, CA 91006-3217

Mailing address

140 E Santa Clara St Ste 22
Arcadia, CA 91006-3217

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1770090433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E SANTA CLARA ST STE 22",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E SANTA CLARA ST STE 22",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063217",
            "telephone_number": "626-399-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUESTHOUSE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "KETCHEDJIAN",
        "authorized_official_first_name": "NAYIRI",
        "authorized_official_middle_name": "ZETLIAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "626-399-5426",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.