Individual provider Active NPI

Gina Myrna Guilarte-Hagen, FNP

  • Family Nurse Practitioner
  • Beaumont, CA
National Provider Identifier
1861929994
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006356 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911004144 CA Practitioner - Nurse Practitioner 4486018397 Reassigns benefits to 3 organizations

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
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

San Ramon, CA 94583
Phone (801) 215-9309

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collabria Care CurrentSince Dec 12, 2023 Accepting new patients
Post Acute Rehabilitation Physicians LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Collabria Care CurrentSince Dec 12, 2023 Accepting new patients
Hosea E Brown MD Inc Past Accepting new patients
Devadas Moses, a Professional Medical Corporation Internal Medicine PastSince Mar 3, 2024 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.

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

Verify at the official NPI Registry.