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GUILLERMO FAMILY MEDICAL CLINIC, LLC
NPI 1538460480
Family Medicine in Deridder, LA

Active since November 09, 2010
301 S WASHINGTON ST, SUITE A, DERIDDER, LA 70634(337) 460-7688(337) 460-7691 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Guillermo Family Medical Clinic, Llc NPPES

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

GUILLERMO FAMILY MEDICAL CLINIC, LLC (NPI 1538460480) is a healthcare organization registered as a family medicine in Deridder, Louisiana and active in the NPI registry since November 2010. The organization lists Andres J Guillermo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1538460480
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGUILLERMO FAMILY MEDICAL CLINIC, LLC
Location Address301 S WASHINGTON ST, SUITE ADeridder, LA 70634-4861
Mailing Address301 S Washington St, Suite ADeridder, LA 70634-4861 · (337) 460-7688 · Fax (337) 460-7691
Phone(337) 460-7688
Fax(337) 460-7691
Organization SubpartNo
Authorized OfficialAndres J GuillermoOwner/provider · (337) 460-7688
Enumeration DateNovember 9, 2010
✔ NPI 1538460480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.203910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 S WASHINGTON ST, Deridder, LA 70634
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Other Identifiers 1

Medicaid1005690LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

BEAUREGARD MEDICAL AND SURGICAL CENTER, LLC
Internal Medicine
301 S WASHINGTON ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7409
DR. WARREN WALTER GREMMEL JR. MD
Family Medicine
301 S WASHINGTON ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-5227
GRETCHEN RENEE WILKERSON NP
Nurse Practitioner (Family)
301 S WASHINGTON ST
DERIDDER, LA 70634
Beauregard Parish (337) 460-7688
BEAUREGARD HEMATOLOGY & ONCOLOGY
Specialist
301 S WASHINGTON ST, SUITE B
DERIDDER, LA 70634
Beauregard Parish (337) 463-7444
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Clinic/Center (Rural Health)
301 S WASHINGTON ST, SUITE B
DERIDDER, LA 70634
Beauregard Parish (337) 460-7688

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 Guillermo Family Medical Clinic, LLC's NPI number?

The NPI number for Guillermo Family Medical Clinic, LLC is 1538460480. It was assigned to this organization in the NPPES registry on November 9, 2010.

Where is Guillermo Family Medical Clinic, LLC located?

Guillermo Family Medical Clinic, LLC is located at 301 S Washington St Suite A, Deridder, LA 70634. The listed phone number is (337) 460-7688.

What is Guillermo Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Guillermo Family Medical Clinic, LLC was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.