MEDICARE: GUADALUPE SALDANA TREVINO JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1605187	CA

General Provider Information

NPI Number	:	1073441515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUADALUPE SALDANA TREVINO JR.

Provider Business Mailing Address
First Line	:	10110 ATAKAPA AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-5330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 WORKMAN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-6800
Country	:	US
Telephone Number	:	661-859-5102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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