Active NPI
Gina Myrna Guilarte-Hagen, FNP
- Family Nurse Practitioner
- Beaumont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006356
- Practice address
- 701 Highland Springs Ave Ste 5
Beaumont, CA 92223-2550 - Phone
- (951) 845-2342
- Fax
- (951) 845-0084
- NPI assigned
- May 19, 2017
- Last updated
- Aug 29, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 462997 | CA | |
| Internal Medicine Physician | 207R00000X | 462997 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95006356 | CA | Primary |
Addresses
Primary practice location
701 Highland Springs Ave Ste 5
Beaumont, CA 92223-2550
Mailing address
5430 Arlington Ave
Riverside, CA 92504
Phone (951) 689-2955
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
San Ramon, CA 94583
Phone (801) 215-9309
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.25 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collabria Care | Current | Accepting new patients | |
| Post Acute Rehabilitation Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Collabria Care | Current | Accepting new patients | |
| Hosea E Brown MD Inc | Past | Accepting new patients | |
| Devadas Moses, a Professional Medical Corporation | Internal Medicine | Past | Accepting new patients |
Locations
414 S Jefferson St
Napa, CA 94559
Phone (707) 258-9080
5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584
5201 Norris Canyon Rd
Ste 220
San Ramon, CA 94583
Phone (925) 277-1900
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
CA, Internal Medicine
-
dba Providence Palliative Care Napa Valley
- Community Based Hospice Care Agency
- Napa, CA
- NPI 1023011178
-
- Physical Medicine & Rehabilitation Physician
- Walnut Creek, CA
- NPI 1164156931
-
dba Devadas Moses
- Internal Medicine Physician
- Beaumont, CA
- NPI 1457117798
-
- Allergy Physician
- Palm Springs, CA
- NPI 1316265010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1861929994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92504",
"telephone_number": "951-689-2955",
"fax_number": "951-689-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HIGHLAND SPRINGS AVE STE 5",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922232550",
"telephone_number": "951-845-2342",
"fax_number": "951-845-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILARTE-HAGEN",
"first_name": "GINA",
"middle_name": "MYRNA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "462997",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "462997",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.