HENRY GUAN
NPI 1063709962
Family Medicine in Los Angeles, CA
About Henry Guan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY GUAN (NPI 1063709962) is an individual family medicine provider in Los Angeles, California, licensed in California (A124043) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Henry Guan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Henry Guan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90022
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Pico Rivera, CA 90660
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Henry Guan's NPI number?
The NPI number for Henry Guan is 1063709962. It was assigned to this individual provider in the NPPES registry on June 30, 2011.
Where is Henry Guan located?
Henry Guan practices at 245 S Fetterly Ave, Los Angeles, CA 90022. The listed phone number is (323) 362-1010.
What is Henry Guan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Henry Guan enrolled in Medicare?
Yes. Henry Guan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Henry Guan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Guan reassigns Medicare benefits to 2 organizations: County Of Los Angeles (Los Angeles, CA) and Southern California Permanente Medical Group (Pico Rivera, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Guan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Henry Guan was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Henry Guan · NPI 1063709962
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1063709962 (Entity type: Individual)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A124043 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 245 S FETTERLY AVE, Los Angeles, CA 90022-1605
- **Phone:** (323) 362-1010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1225048234, Los Angeles, CA); Southern California Permanente Medical Group (NPI 1891287827, Pico Rivera, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063709962) · Data from the CMS NPPES public registry.