JESSIE GUERRERO MD
NPI 1053989921
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Jessie Guerrero's NPI number?

The NPI number for Jessie Guerrero is 1053989921. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Jessie Guerrero's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Guerrero was last updated on June 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment

1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(323) 260-5781 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jessie Guerrero Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE GUERRERO MD (NPI 1053989921) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053989921

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJESSIE GUERREROCredential: MD

Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414

Mailing Address18355 Collins St Apt 124Tarzana, CA 91356-2433

Phone(323) 260-5781

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 16, 2021

NPPES CertifiedJune 16, 2021

✔ NPI 1053989921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessie Guerrero Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507392545

PECOS Enrollment IDI20241213000750

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAYELI BUENROSTRO DPM

Student in an Organized Health Care Education/Training Program