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JACQUELINE CHEN GUO MD
NPI 1437893815
Psychiatry & Neurology - Psychiatry in San Rafael, CA

Active since April 22, 2022PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Apr 22, 2022 (2 updates tracked since 2022).

About Jacqueline Chen Guo Md NPPES

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

JACQUELINE CHEN GUO MD (NPI 1437893815) is an individual psychiatry provider in San Rafael, California, licensed in California (A209005) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437893815
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJACQUELINE CHEN GUOCredential: MD
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939
Phone(415) 491-3000
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1437893815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A209005
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
111 SMITH RANCH RD, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Chen Guo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Guo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 20

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

STEPHANIE LOPEZ
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3127
ASFAND KHAN
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JENNIFER DAWN ROSSI MA
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
AMY NICOLE URBAN
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
DR. KIM HUONG HUYNH PH.D.
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3011
CORINNE HEIMER
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JONATHAN MICHAEL DUBOS
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
SHIRI LICHTENSTEIN PSYD
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000

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 Jacqueline Guo's NPI number?

The NPI number for Jacqueline Guo is 1437893815. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Jacqueline Guo located?

Jacqueline Guo practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3000.

What is Jacqueline Guo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacqueline Guo enrolled in Medicare?

Yes. Jacqueline Guo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Guo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Guo reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Jacqueline Guo'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 Jacqueline Guo was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.