JOHN J GUAGENTI (NPI# 1295871358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295871358 |
| Entity Type | Individual |
| Full Name | JOHN J GUAGENTI |
| Credential | MD |
| Practice Address |
1510 S Central Ave Ste 470 Glendale CA 91204-2514 |
| Practice Telephone | 8182426357 |
| Practice Fax Number | 8182423628 |
| Mailing Telephone | 8182426357 |
| Mailing Fax Number | 8182423628 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G32900 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G329000 | 05 |
| Street Address |
1510 S CENTRAL AVE STE 470 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497524 | Phillip H A Lee Md and Center for Advanced Dermatology | Preferred Provider Organization | 1510 S Central Ave Ste 470, Glendale, CA 91204-2514 | 2015-09-16 |
| 1497969067 | Anne Ya Ping Lee | Physician Assistant | 1510 S Central Ave Ste 470, Glendale, CA 91204-2514 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981506 | Joni Sue Cox | Specialist | 6975 W Irma Ln, Glendale, AZ 85308-9477 | 2017-06-11 |
| 1649708496 | Jennie Fisher | Specialist | 9050 Union Tpke Apt 6j, Glendale, NY 11385-8064 | 2017-05-24 |
| 1396113577 | Crystal Genereux | Specialist | 5301 W Desert Hills Dr, Glendale, AZ 85304-2701 | 2015-09-04 |
| 1144600057 | Alicia Delgado | Specialist | 68-29 64th Place, Glendale, NY 11385 | 2015-06-05 |
| 1881081438 | Ifetayo Khalila Blissett | Specialist | 7618 69th Pl, 5e, Glendale, NY 11385-7134 | 2015-04-22 |
| 1912392598 | Bridgit Berthen | Specialist | 7131 66th St, Glendale, NY 11385-7065 | 2015-04-01 |
| 1366835241 | Rumena Begum | Specialist | 7444 64th Pl, Glendale, NY 11385-6135 | 2015-03-16 |
| 1669870572 | Kamila E Jaskowiak | Specialist | 6049 75th Ave, 2nd Fl, Glendale, NY 11385-6168 | 2014-12-08 |
| 1770986325 | Gloria Pineda | Specialist | 7108 72nd Pl, Glendale, NY 11385-7337 | 2014-09-26 |
| 1457764268 | Shannon Victoria Martinez | Specialist | 7818 81st St, Glendale, NY 11385-7633 | 2014-06-09 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.