Individual provider Active NPI

Bernadet Viray Guevarra, FNP

  • Family Nurse Practitioner
  • Daly City, CA
National Provider Identifier
1952926289
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
555880 Issued in CA
Practice address
995 Higate Dr
Daly City, CA 94015-4259
Phone
(650) 576-0836
Fax
(650) 550-4267
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 555880 CA Primary

Addresses

Primary practice location

995 Higate Dr
Daly City, CA 94015-4259

Mailing address

995 Higate Dr
Daly City, CA 94015-4259
Phone (650) 550-4267

Other names 1

  • Bernadet De Leon Viray Former name

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
I20221108000668 CA Practitioner - Nurse Practitioner 9234547969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

905 Maple St
Redwood City, CA 94063-2057
Phone (650) 399-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Nov 24, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 24, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

1652 Mono Ave
Ashland, CA 94578
Phone (510) 357-5351

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

21863 Vallejo St
Cherryland, CA 94541
Phone (510) 481-3200

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

905 Maple St
Redwood City, CA 94063
Phone (510) 625-4101

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500

2295 Plummer Ave
San Jose, CA 95125
Phone (408) 269-0701

14766 Washington Ave
San Leandro, CA 94578
Phone (510) 352-2211

2620 Flores St
San Mateo, CA 94403
Phone (650) 349-2161

45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1002 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-2383

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1952926289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 HIGATE DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154259",
            "telephone_number": "650-550-4267",
            "fax_number": "650-550-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 HIGATE DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154259",
            "telephone_number": "650-576-0836",
            "fax_number": "650-550-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "BERNADET",
        "middle_name": "VIRAY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "555880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADET",
            "last_name": "VIRAY",
            "middle_name": "DE LEON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.