Active NPI
Diane Kiyoko Guerrero, RNC
- Obstetrics & Gynecology Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1811225782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 10752
- Practice address
- 625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666 - Phone
- (626) 304-2626
- Fax
- (626) 585-0695
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 10752 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666
Mailing address
1740 Lark Tree Way
Hacienda Heights, CA 91745-3810
Phone (626) 617-1794
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10752 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1811225782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 LARK TREE WAY",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917453810",
"telephone_number": "626-617-1794",
"fax_number": "626-810-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 255",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052666",
"telephone_number": "626-304-2626",
"fax_number": "626-585-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "DIANE",
"middle_name": "KIYOKO",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "10752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.