JACK L. GUCCIONE
NPI 1679681670
Specialist in Fortuna, CA

Q: What is Jack L. Guccione's NPI number?

The NPI number for Jack L. Guccione is 1679681670. It was assigned to this organization in the NPPES registry on August 29, 2006.

Q: What is Jack L. Guccione's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jack L. Guccione was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 29, 2006

2404 NEWBURG RD, FORTUNA, CA 95540(707) 725-8770(707) 725-8773 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack L. Guccione NPPES

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

JACK L. GUCCIONE (NPI 1679681670) is a healthcare organization registered as a specialist in Fortuna, California and active in the NPI registry since August 2006. The organization lists Jack L. Guccione, Director, as its authorized official.

NPPES Registry Identity

NPI1679681670

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJACK L. GUCCIONE

Location Address2404 NEWBURG RDFortuna, CA 95540-2818

Mailing Address2404 Newburg RdFortuna, CA 95540-2818 · (707) 725-8770 · Fax (707) 725-8773

Phone(707) 725-8770

Fax(707) 725-8773

Organization SubpartNo

Authorized OfficialJack L. GuccioneDirector · (707) 725-8770

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 19, 2012

✔ NPI 1679681670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G66333

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2404 NEWBURG RD, Fortuna, CA 95540

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Other Identifiers 1

Medicare PINZZZ21018ZCA

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 2

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

DR. JACK L GUCCIONE M.D., MPH

Specialist

2404 NEWBURG RD
FORTUNA, CA 95540

Humboldt County (707) 725-8770

FORTUNA FAMILY MEDICINE INC.

Clinic/Center (Rural Health)

2404 NEWBURG RD
FORTUNA, CA 95540

Humboldt County (707) 617-2002

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 Jack L. Guccione's NPI number?

The NPI number for Jack L. Guccione is 1679681670. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Jack L. Guccione located?

Jack L. Guccione is located at 2404 Newburg Rd, Fortuna, CA 95540. The listed phone number is (707) 725-8770.

What is Jack L. Guccione's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack L. Guccione was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.