Erick Guillory, P. A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 13616 Issued in CA

Practice address

9301 Wilshire Blvd
Suite 404
Beverly Hills, CA 90210-5424

Phone

(310) 278-9171

Fax

(310) 278-2058

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Sinu-Clear Inc

  • Otolaryngology Physician
  • Encino, CA
  • NPI 1831298751
  Medicare reassignment
• Golden Ear Medical Group, Inc

  • Specialist
  • Gardena, CA
  • NPI 1760408256
  NPD (past)
• Sinuclear Oregon PC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1851152730
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1831211416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8162 MANITOBA ST",
            "address_2": "UNIT 305",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938641",
            "telephone_number": "310-482-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-278-9171",
            "fax_number": "310-278-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "ERICK",
        "name_prefix": "Mr.",
        "credential": "P. A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 13616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DV219Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine J. Grush, LMFT
• Jennifer Williams Gruska, LMFT
• Guardian Surgical Institute Inc
• Edgar Augustus Guess Jr., M.D.
• Lindsay M Guest, COTA/L
• Joseph L. Gulino, M.D.
• Cathie Faye Gum, PSY.D.
• Tracy A. Gumbiner, CCC/SLP
• Guodong Li M.D. Inc
• Gupta Zandifar Operating Account

• Medical Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.