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GUADA LAZO AGNP-C
NPI 1528590585
Nurse Practitioner in Cerritos, CA

Active since March 29, 2017PECOS Enrolled
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703(562) 977-4639 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Jun 24, 2021, Sep 30, 2020 and 3 more (6 updates tracked since 2017).

About Guada Lazo Agnp-c NPPES

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

GUADA LAZO AGNP-C (NPI 1528590585) is an individual nurse practitioner in Cerritos, California, licensed in California (NP95006017) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528590585
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGUADA LAZOCredential: AGNP-C
Location Address12900 PARK PLAZA DR STE 150Cerritos, CA 90703-9329
Mailing Address12900 Park Plaza Dr Ste 150Cerritos, CA 90703-9329 · (562) 977-4639
Phone(562) 977-4639
Sole ProprietorNo
Enumeration DateMarch 29, 2017
Last NPPES UpdateNovember 1, 20226 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1528590585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95006017
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12900 PARK PLAZA DR STE 150, Cerritos, CA 90703
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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)

Guada Lazo Agnp-c 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 Reassignments

2

Medicare enrollment records show Guada Lazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
5.0 mi
Health Maintenance Organization
9400 ROSECRANS AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242555 (562) 461-3000
Housecall Doctors Medical Group Inc
6.5 mi
Geriatric Medicine
3800 KILROY AIRPORT WAY STE 270
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1033164017 (949) 366-1053

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 90703 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.

CARYN CHIN CHAO N.P.
Nurse Practitioner (Gerontology)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
DR. RUTH JUDITH TORRES CONTRERAS DNP, FNP-BC, APRN
Nurse Practitioner (Family)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (213) 989-0700
YOORON KIM
Nurse Practitioner (Primary Care)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
LONG QUANG DANG M.D.
Family Medicine
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (562) 677-2637
ERIC FRANCIS GUENTHER-GLEASON PHARMD
Pharmacist
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (562) 677-2637
DR. PETER TRUONG PHARMD.
Pharmacist
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (714) 793-7878
JERACHA KAHNAMELLI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (951) 207-0856
JEFFREY CHEN PHARMD
Pharmacist
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Los Angeles County (582) 622-2800

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 Guada Lazo's NPI number?

The NPI number for Guada Lazo is 1528590585. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Guada Lazo located?

Guada Lazo practices at 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703. The listed phone number is (562) 977-4639.

What is Guada Lazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Guada Lazo enrolled in Medicare?

Yes. Guada Lazo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Guada Lazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guada Lazo reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Bellflower, CA) and Housecall Doctors Medical Group Inc (Long Beach, 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 Guada Lazo'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 Guada Lazo was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.