John Francisco Guerrero, FNP
NPI 1154801280ActiveIndividual· Nurse Practitioner, Family· El Centro, CA
Nurse Practitioner, Family (FNP) with Rambel Medical Group PC, practicing in El Centro, California. In 2024 Medicare paid $1,445,130 for 486 patients, and Part D covered 7,918 of their prescriptions, 85% of them generic. Novo Nordisk Inc was the largest of 13 companies reporting payments in 2025, $715.34 in all, mostly food and beverage. Lists El Centro Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1154801280 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2018 |
| Last updated in NPPES | Oct 15, 2023 |
| Certified by provider | Oct 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95011556 | CA |
| Registered Nurse, Emergency | 163WE0003X | TRN216638 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 486 |
|---|---|
| Services billed | 8,294 across 137 procedure codes |
| Paid by Medicare | $1,445,130 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,918 · 12,308 30-day fills |
|---|---|
| Patients | 452 |
| Total drug cost | $758,914 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Rambel Medical Group PCEl Centro, CA · 2 clinicians
Hospital affiliations
- El Centro Regional Medical CenterEl Centro, CA
- Pioneers Memorial Healthcare DistrictBrawley, CA
Other facilities
- Accentcare Home Health of California IncHome health agency · El Centro, CA
- Assisting Hands Health CareHome health agency · Glendale, CA
- Orange County Home Health, IncHome health agency · Los Alamitos, CA
- Uni Care Home Care IncHome health agency · El Centro, CA
Industry payments (Open Payments)
- 2025$715.34 · 31 payments from 13 companies
- 2024$591.93 · 27 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $232.47 | 11 |
| Genzyme Corporation | $106.75 | 3 |
| Shield Therapeutics Inc | $56.57 | 2 |
| Astrazeneca Pharmaceuticals LP | $45.58 | 2 |
| Amgen Inc. | $42.53 | 2 |
What the 2025 payments were for
- Food and Beverage$715.34 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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