JACQUELYNN BANABAN GUEVARRA AG-ACNP-BC
NPI 1427567049
Nurse Practitioner - Acute Care in Los Alamitos, CA

Q: What is Jacquelynn Guevarra's NPI number?

The NPI number for Jacquelynn Guevarra is 1427567049. It was assigned to this individual provider in the NPPES registry on September 26, 2017. The provider is also known as Jacquelynn Camaclang Banaban.

Q: What is Jacquelynn Guevarra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment

3751 KATELLA AVE, LOS ALAMITOS, CA 90720(562) 598-1311 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jacquelynn Banaban Guevarra Ag-acnp-bc NPPES

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

JACQUELYNN BANABAN GUEVARRA AG-ACNP-BC (NPI 1427567049) is an individual acute care provider in Los Alamitos, California, licensed in California (95007291) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427567049

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACQUELYNN BANABAN GUEVARRACredential: AG-ACNP-BC

Location Address3751 KATELLA AVELos Alamitos, CA 90720-3113

Mailing Address7421 Susan CirLa Palma, CA 90623-1325 · (808) 349-8152

Phone(562) 598-1311

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 26, 2017

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1427567049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95007291

3751 KATELLA AVE, Los Alamitos, CA 90720

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Other Names 1

Former Name (1)Jacquelynn Camaclang Banaban

Secondary Practice Locations 2

Location 11000 W Carson St # 2Torrance, CA 90502-2004 · Phone (310) 222-2171 · Fax (310) 222-5601

Location 2101 The City Dr SOrange, CA 92868-3201 · Phone (714) 456-8888

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

Jacquelynn Banaban Guevarra Ag-acnp-bc 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 ID3375894512

PECOS Enrollment IDI20260710004001

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 90720 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

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 20

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

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