Individual provider Active NPI

Suamhirs Montecristo Piraino-Guzman

  • Behavioral Neurology & Neuropsychiatry Physician
  • Santa Ana, CA
National Provider Identifier
1831486240
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
B3453JP Issued in CA
Practice address
1575 E 17TH St
Santa Ana, CA 92705-8506
Phone
(714) 619-0212
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X B3453JP CA Primary

Addresses

Primary practice location

1575 E 17TH St
Santa Ana, CA 92705-8506

Mailing address

1575 E 17TH St
Santa Ana, CA 92705-8506
Phone (714) 619-0212

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

LicenseStateTypeSpecialty
B3453JPCAMDBehavioral Neurology & Neuropsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1831486240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058506",
            "telephone_number": "714-619-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058506",
            "telephone_number": "714-619-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRAINO-GUZMAN",
        "first_name": "SUAMHIRS",
        "middle_name": "MONTECRISTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "B3453JP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.