Individual provider Active NPI

Luis Gudino, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Alamitos, CA
National Provider Identifier
1891539086
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030525 Issued in CA
Practice address
4132 Katella Ave Ste 200
Los Alamitos, CA 90720-3496
Phone
(562) 312-1777
Fax
(562) 318-2257
NPI assigned
Jun 21, 2024
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030525 CA Primary

Addresses

Primary practice location

4132 Katella Ave Ste 200
Los Alamitos, CA 90720-3496

Mailing address

4132 Katella Ave Ste 200
Los Alamitos, CA 90720-3496
Phone (562) 312-1777

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
I20250624003525 CA Practitioner - Nurse Practitioner 6800308982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Connections PsychiatryGroup PAC ID 6800307471, 4 clinicians

Practice addresses (Care Compare)

4132 Katella Ave
Suite 200
Los Alamitos, CA 90720-3496
Phone (562) 312-1777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030525CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Connections Psychiatry CurrentSince May 1, 2025 Accepting new patients

Locations

4132 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 312-1777

Organizations & group practices 1

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1891539086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203496",
            "telephone_number": "562-312-1777",
            "fax_number": "562-318-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203496",
            "telephone_number": "562-312-1777",
            "fax_number": "562-318-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDINO",
        "first_name": "LUIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.