Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marietta Bermudez Guajardo, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1033512868

Marietta Bermudez Guajardo, FNP-BC is a Nurse Practitioner in Modesto, California. Qualified in 2014, 12 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Texas.

Years since qualifying
12
Licensed in
CA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 524-1211
Fax: (209) 550-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7913 Bandera Rd, San Antonio, TX 78250-6511 — (210) 698-9841

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95005262 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP126286 (TX)

Record details

NPI number1033512868
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 7, 2014
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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