Individual provider Active NPI

Katherine Guardado, FNP

  • Family Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1821516535
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007215 Issued in CA
Practice address
18250 Roscoe Blvd Ste 200
Northridge, CA 91325
Phone
(818) 721-4800
NPI assigned
Sep 1, 2017
Last updated
May 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007215 CA Primary

Addresses

Primary practice location

18250 Roscoe Blvd Ste 200
Northridge, CA 91325

Mailing address

1710 N Catalina St
Burbank, CA 91505-1205

Other practice location 1

751 Lombardi Ct Ste B
Santa Rosa, CA 95407-5454
Phone (707) 547-2222

Other practice location 2

751 Lombardi Ct Ste B
Santa Rosa, CA 95407-5454
Phone (707) 547-2222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240612001150 CA Practitioner - Nurse Practitioner 9739621202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Proyecto del Barrio IncGroup PAC ID 3476546227, 27 clinicians

Practice addresses (Care Compare)

18250 Roscoe Blvd
Suite 200
Northridge, CA 91325-4226
Phone (818) 721-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007215CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Proyecto del Barrio, Inc. CurrentSince May 9, 2024 Accepting new patients
El Proyecto del Barrio, Inc. Current Accepting new patients
El Proyecto del Barrio, Inc. PastSince May 9, 2024 Accepting new patients

Locations

8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033

18250 Roscoe Blvd
#200
Northridge, CA 91325
Phone (818) 721-4800

18250 Roscoe Blvd
Ste 200
Northridge, CA 91325
Phone (818) 721-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1821516535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N CATALINA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-721-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Lombardi Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075454",
            "country_code": "US",
            "telephone_number": "707-547-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Lombardi Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075454",
            "country_code": "US",
            "telephone_number": "707-547-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.