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MIRENE GUEVARRA
NPI 1649946302
Nurse Practitioner - Family in Lake Elsinore, CA

Active since August 20, 2021
425 DIAMOND DR, LAKE ELSINORE, CA 92530(951) 674-4114 Get Directions Write a Review

NPPES record last updated: August 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2021, Aug 20, 2021 (2 updates tracked since 2021).

About Mirene Guevarra NPPES

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

MIRENE GUEVARRA (NPI 1649946302) is an individual family provider in Lake Elsinore, California, licensed in California (95018158) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1649946302
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRENE GUEVARRA
Location Address425 DIAMOND DRLake Elsinore, CA 92530-4495
Mailing Address425 Diamond DrLake Elsinore, CA 92530-4495 · (951) 674-4114 · Fax (951) 674-1403
Phone(951) 674-4114
Sole ProprietorNo
Enumeration DateAugust 20, 2021
Last NPPES UpdateAugust 28, 20212 updates tracked since enumeration
NPPES CertifiedAugust 28, 2021
✔ NPI 1649946302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95018158
425 DIAMOND DR, Lake Elsinore, CA 92530
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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.

WILLIAM M. KELLY M.D., INC.
Radiology (Diagnostic Neuroimaging)
425 DIAMOND DR, SUITE 103
LAKE ELSINORE, CA 92530
Riverside County (951) 245-2700
TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC
Non-Pharmacy Dispensing Site
425 DIAMOND DR, SUITE 102
LAKE ELSINORE, CA 92530
Riverside County (951) 674-8779
FARID SAADAT MD INC
Internal Medicine
425 DIAMOND DR, SUITE 102
LAKE ELSINORE, CA 92530
Riverside County (951) 471-5711
MRS. ROSLYN RICHARDSON MS,RN-NP-C
Nurse Practitioner (Family)
425 DIAMOND DR
LAKE ELSINORE, CA 92530
Riverside County (951) 678-8479
ROCHELLE BUI
Physician Assistant
425 DIAMOND DR, SUITE #105
LAKE ELSINORE, CA 92530
Riverside County (951) 674-4114

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 Mirene Guevarra's NPI number?

The NPI number for Mirene Guevarra is 1649946302. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Mirene Guevarra located?

Mirene Guevarra practices at 425 Diamond Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 674-4114.

What is Mirene Guevarra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mirene Guevarra was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.