Individual provider Active NPI

Olga Irma Guerra, MA CCC-SLP

  • Speech-Language Pathologist
  • Rancho Cucamonga, CA
National Provider Identifier
1972786853
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8524 Issued in CA
Practice address
8333 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730-3155
Phone
(909) 906-0016
NPI assigned
Dec 13, 2007
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 8524 CA Primary

Addresses

Primary practice location

8333 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730-3155

Mailing address

8333 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730-3155
Phone (909) 906-0016

Other practice location 1

8265 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone (909) 373-1641

Other identifiers 1

IdentifierTypeStateIssuer
1154862878MedicaidCA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8524CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All About Speech Speech-Language Pathologist CurrentSince Oct 20, 2019 Accepting new patients

Locations

8333 Foothill Blvd
Ste 116
Rancho Cucamonga, CA 91730
Phone (909) 906-0016

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1972786853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 FOOTHILL BLVD STE 116",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303155",
            "telephone_number": "909-906-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 FOOTHILL BLVD STE 116",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303155",
            "telephone_number": "909-906-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8265 White Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307671",
            "country_code": "US",
            "telephone_number": "909-373-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "OLGA",
        "middle_name": "IRMA",
        "name_prefix": "Miss",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154862878",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.