Charmaine Orino Severo-Guevarra

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017248 Issued in CA

Practice address

6851 San Rafael CT
Fontana, CA 92336-5064

Phone

(805) 453-8710

NPI assigned

Jun 11, 2021

Sex

Female

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Greater Good Health PC, Inc.

  • Nurse Practitioner
  • El Segundo, CA
  • NPI 1821673005
  Medicare reassignment Care Compare group NPD
• Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1972159069
  Medicare reassignment NPD
• Greater Good Health PC, Inc.

  • Primary Care Clinic/Center
  • Ammon, ID
  • NPI 1033095914
  NPD

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1780252270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 SAN RAFAEL CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365064",
            "telephone_number": "805-453-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 SAN RAFAEL CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365064",
            "telephone_number": "805-453-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERO-GUEVARRA",
        "first_name": "CHARMAINE",
        "middle_name": "ORINO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Olazaran Serrano, DDS
• Sheyanne Lynn Serrano
• James Y. Setiawan, MD
• Stanley James Setiawan, MD
• Carol Settle
• Sheila Orino Severo, PT
• Esther M. Sewell, MD
• Maralee Shadle, PA
• Imran Shafi, M.D
• Shah Bhagat & Uppal a Professional Dental Corportation (Shah Bhagat & Uppal A Professional Dental Corportion)

• Family Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.

Verify at the official NPI Registry.