Noel Christian Guido, PA-C
Individual provider Active NPI Physician Assistant · Roosevelt, UT
NPI 1972196970 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1972196970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 250 W 300 N
Roosevelt, UT 84066-2336 - Phone
- (435) 722-4691
- NPI assigned
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027002629 | CA | Practitioner - Physician Assistant | 7416345293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current |
Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current |
Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients |
Locations
2333 S Mooney Blvd
Visalia, CA 93277
Phone (559) 205-1800
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
- noel.guido@fhcn.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
250 W 300 N
Roosevelt, UT 84066-2336
Mailing address
163 E 1150 S
Roosevelt, UT 84066-3815
Phone (916) 872-5860
Other providers in Roosevelt, UT
- Robyn Goodrich
- Shawna Lee Goodrich
- Faith Marie Gordon
- Gary F Graham
- Frank Guercio
- Whitney Gurr
- Karin Hales
- Leslie Hall
- Valarie Jean Hamblin
- Leslie R Harris
All providers in Roosevelt, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.