Individual provider Active NPI

Isabelle Guiang, MSN, CPN, NP-C

  • Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1790049146
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95006229 Issued in CA
Practice address
13056 Leawood St
Victorville, CA 92392-0578
Phone
(760) 881-5349
NPI assigned
Jun 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1216066 TX
Nurse Practitioner 363L00000X NP95006229 CA Primary

Addresses

Primary practice location

13056 Leawood St
Victorville, CA 92392-0578

Mailing address

13056 Leawood St.
Victorville, CA 92392
Phone (760) 881-5349

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iguiang1373317@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95006229CAMDNurse Practitioner
F1216066TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary Medical Center Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Mary Specialty Clinic Past Accepting new patients

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": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1790049146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13056 LEAWOOD ST.",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-881-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13056 LEAWOOD ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923920578",
            "telephone_number": "760-881-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIANG",
        "first_name": "ISABELLE",
        "credential": "MSN, CPN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1216066",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95006229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iguiang1373317@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12550 Hesperia Rd Ste 100",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923955873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.