Organization Active NPI

Dennis J Guerrieri OD Inc

  • Optometrist
  • Davis, CA
National Provider Identifier
1922466895
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8478 Issued in CA
Legal business name
DENNIS J GUERRIERI OD INC
Practice address
231 C St
Davis, CA 95616-4521
Phone
(530) 758-4000
Fax
(530) 758-4016
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Dr. Dennis J Guerrieri, O.D.NPI 1366436917
Title
Owner/Doctor
Phone
(530) 758-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8478 CA Primary

Addresses

Primary practice location

231 C St
Davis, CA 95616-4521

Mailing address

231 C St
Davis, CA 95616-4521
Phone (530) 758-4000

Other identifiers 1

IdentifierTypeStateIssuer
SD0084781MedicaidCA

National Provider Directory

National Provider Directory

Locations

231 C St
Davis, CA 95616
Phone (530) 758-4000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1922466895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164521",
            "telephone_number": "530-758-4000",
            "fax_number": "530-758-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164521",
            "telephone_number": "530-758-4000",
            "fax_number": "530-758-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J GUERRIERI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "GUERRIERI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "530-758-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0084781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.