Individual provider Active NPI

Sharel De Guia

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1962977264
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95040507 Issued in CA
Practice address
9400 Ruffin CT BLDG B
San Diego, CA 92123-5300
Phone
(858) 874-1082
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95040507 CA Primary

Addresses

Primary practice location

9400 Ruffin CT BLDG B
San Diego, CA 92123-5300

Mailing address

9400 Ruffin CT BLDG B
San Diego, CA 92123-5300
Phone (858) 874-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95040507CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1962977264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 RUFFIN CT BLDG B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235300",
            "telephone_number": "858-874-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 RUFFIN CT BLDG B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235300",
            "telephone_number": "858-874-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUIA",
        "first_name": "SHAREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95040507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.