Josecarlos Guajardo Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

D1332838 Issued in CA

Practice address

7233 Loma Verde Ave Apt 203
Canoga Park, CA 91303-3606

Phone

(818) 660-7653

NPI assigned

Mar 6, 2020

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1932734399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 LOMA VERDE AVE APT 203",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033606",
            "telephone_number": "818-660-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 LOMA VERDE AVE APT 203",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033606",
            "telephone_number": "818-660-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "JOSECARLOS",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "D1332838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Gris
• Denise Grodzienski
• James Groocock
• Jeremy Ian Grosser, M.D.
• Lynna Grounds
• Karen Mageline Guardado
• Alfonso Guarino
• Estrella Guerra
• Bryan Guerrero
• Gemariah Guerrero

• Non-emergency Medical Transport (VAN) in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.