Individual provider Active NPI

Guillermo Guardiola Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1902084395
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP116503 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 659497 TX
Certified Registered Nurse Anesthetist 367500000X AP116503 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

11910 Greenville Ave
Suite 650
Dallas, TX 75243
Phone (214) 373-9092 ext. 100

Other identifiers 2

IdentifierTypeStateIssuer
88822UOtherTXBLUE CROSS BLUE SHIELD
192909301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000629 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254401284 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (469) 607-2276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
659497TXMDCertified Registered Nurse Anesthetist
AP116503TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia of North Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Mar 1, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2018 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2023 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2018 Accepting new patients
Allied Anesthesia & Pain Management Consultants, LLP CurrentSince Jan 16, 2015 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2024 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Jan 1, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 1, 2017 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Guillermo Guardiola, Jr. Crna, PLLC PastSince Apr 26, 2020 Accepting new patients
Rapimed, LLC Past Accepting new patients
Allied Anesthesia Associates, LLP Past Accepting new patients

Locations (25 of 47)

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1001 N Waldrop Dr
Ste 701
Arlington, TX 76012
Phone (817) 265-4844

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5500 Greenville Ave
Ste 1100
Dallas, TX 75206
Phone (214) 739-9544

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

11910 Greenville Ave
Ste 650
Dallas, TX 75243
Phone (214) 373-9092

12200 Park Central Dr
Ste 300
Dallas, TX 75251
Phone (972) 661-0505

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

14850 Montfort Dr
Ste 200
Dallas, TX 75254
Phone (214) 373-9250

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

14114 Dallas Pkwy
Ste 200
Dallas, TX 75254
Phone (214) 373-9092

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1401 8th Ave
Ft Worth, TX 76104
Phone (817) 334-2831

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1902084395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11910 Greenville Ave",
            "address_2": "Suite 650",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75243",
            "country_code": "US",
            "telephone_number": "214-373-9092 x100",
            "fax_number": "214-373-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDIOLA",
        "first_name": "GUILLERMO",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "659497",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88822U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192909301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.