Jacob Guevarra

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52378 Issued in CA

Practice address

4300 Green River Rd Ste 114
Corona, CA 92878-2306

Phone

(951) 382-4238

NPI assigned

Jun 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tone Physical Therapy and Rehab

  • Physical Therapist
  • Corona, CA
  • NPI 1063933117
  NPD
• Kevin O. Lawrence MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Rancho Cucamonga, CA
  • NPI 1659545630
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1831875129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BELLOWS CT",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651871",
            "telephone_number": "909-282-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GREEN RIVER RD STE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782306",
            "telephone_number": "951-382-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4281 Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203500",
            "country_code": "US",
            "telephone_number": "909-693-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Nereida Guerrero
• Megan Elisabeth Guerrero
• Samantha Guerrero
• Ivette Guevara Garcia, DDS
• Ann Guevara
• Melissa Selene Guillen, BCAT, RBT
• Brittani Jeanne Guillory, LVN
• Noha Monir Aziz Mikhael Guirguis, RDMS, RVT
• Hailey Gumanab
• Rushil Gumasana

• Physical Therapy Assistant in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.