AMANDA GUEVARA - NPI 1174357255 - Physician Assistant in Fountain Valley, CA

Q: What is Amanda Guevara's NPI number?

The NPI number for Amanda Guevara is 1174357255. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Q: What is Amanda Guevara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Guevara was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Guevara NPPES

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

AMANDA GUEVARA (NPI 1174357255) is an individual physician assistant in Fountain Valley, California, licensed in California (PA65055) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174357255

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA GUEVARA

Location Address18111 BROOKHURST ST STE 6100Fountain Valley, CA 92708-6728

Mailing Address18111 Brookhurst St Ste 6100Fountain Valley, CA 92708-6728 · (657) 241-9755 · Fax (714) 907-4407

Phone(657) 241-9755

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 29, 2024

Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1174357255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA65055

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

18111 BROOKHURST ST STE 6100, Fountain Valley, CA 92708

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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

Amanda Guevara 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 ID345773370

PECOS Enrollment IDI20241030000773

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

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