Fred P. Guarcello & Peter S. Klem PTR

Primary specialty

OptometristTaxonomy code 152W00000X

License

6453T Issued in CA

Legal business name

FRED P. GUARCELLO & PETER S. KLEM PTR

Practice address

1263 Pleasant Grove Blvd
Suite 100
Roseville, CA 95747-5884

Phone

(916) 773-1195

Fax

(916) 773-1187

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred Paul Guarcello, O.D.

Title

Partner

Phone

(916) 773-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1902093610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 PLEASANT GROVE BLVD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475884",
            "telephone_number": "916-773-1195",
            "fax_number": "916-773-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 PLEASANT GROVE BLVD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475884",
            "telephone_number": "916-773-1195",
            "fax_number": "916-773-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED P. GUARCELLO & PETER S. KLEM PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "GUARCELLO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "916-773-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6453T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa G Franz
• Jamie Frazier, LMFT
• Rachael D Frazier, AGPCNP
• Fred D Coffman DDS Inc
• Fred D. Coffman, D.D.S., Inc.
• Fred P. Guarcello, O.D.
• Fred Weiland MD, Inc
• Frederick R Sautter Licensed Clinical Social Worker Inc
• Laura M Frederick, LMFT
• Nicole L Fredericks, OT

• Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.