Individual provider Active NPI

Gwendolyn Williams-Guess

  • Peer Specialist
  • San Bernardino, CA
National Provider Identifier
1871200659
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
255 N D St Ste 412
San Bernardino, CA 92401-1715
Phone
(951) 788-5902
Fax
(951) 788-5903
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

255 N D St Ste 412
San Bernardino, CA 92401-1715

Mailing address

3576 Arlington Ave Ste 106
Riverside, CA 92506-3907
Phone (951) 788-5905

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walden Environment CurrentSince Nov 6, 2022 Accepting new patients
Walden Environment PastSince Nov 6, 2022 Accepting new patients

Locations

255 N D St
Ste 412
San Bernardino, CA 92401
Phone (951) 788-5902

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1871200659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 106",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063907",
            "telephone_number": "951-788-5905",
            "fax_number": "951-788-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST STE 412",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011715",
            "telephone_number": "951-788-5902",
            "fax_number": "951-788-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-GUESS",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.