Healthcare Provider Details

I. General information

NPI: 1104507466
Provider Name (Legal Business Name): MARIANNE GUINTU USI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E HIGHLAND AVE STE 551
SAN BERNARDINO CA
92404-3840
US

IV. Provider business mailing address

3660 PARK SIERRA DR STE 203
RIVERSIDE CA
92505-3071
US

V. Phone/Fax

Practice location:
  • Phone: 909-882-9150
  • Fax: 909-883-8972
Mailing address:
  • Phone: 951-687-3400
  • Fax: 951-687-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNP95011934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: