MICHAEL GUERENA MD
NPI 1841222171
Specialist in Oceanside, CA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3609 VISTA WAY, OCEANSIDE, CA 92056(760) 637-2500(760) 637-2501 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Guerena Md NPPES

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

MICHAEL GUERENA MD (NPI 1841222171) is an individual specialist in Oceanside, California, licensed in California (G80926) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1990).

NPPES Registry Identity

NPI1841222171
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL GUERENACredential: MD
Location Address3609 VISTA WAYOceanside, CA 92056-4522
Mailing Address3609 Vista WayOceanside, CA 92056-4522 · (760) 637-2500 · Fax (760) 637-2501
Fax(760) 637-2501
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1990
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 1, 2017
NPI 1841222171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G80926
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.

3609 VISTA WAY, Oceanside, CA 92056

Other Identifiers 3

Medicare ID-Type UnspecifiedW13646CA
Medicare UPING12410CA
Medicaid00G809260CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Guerena Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456532852
PECOS Enrollment IDI20110217000672
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,085 services498 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
397 services315 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
392 services188 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
258 services173 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
158 services126 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
72 services59 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers31 claims7,361 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
3609 VISTA WAY
OCEANSIDE, CA 92056
Urology
3609 VISTA WAY
OCEANSIDE, CA 92056
Urology
3609 VISTA WAY
OCEANSIDE, CA 92056
Family Medicine
3609 VISTA WAY, SUITE B
OCEANSIDE, CA 92056
Specialist
3609 VISTA WAY
OCEANSIDE, CA 92056

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 Michael Guerena's NPI number?

The NPI number for Michael Guerena is 1841222171. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Michael Guerena located?

Michael Guerena practices at 3609 Vista Way, Oceanside, CA 92056. The listed phone number is (760) 637-2500.

What is Michael Guerena's specialty?

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

Is Michael Guerena enrolled in Medicare?

Yes. Michael Guerena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Guerena was last updated on May 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.