Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Teresa Guastella, PA-C

Individual provider Physician Assistant · NPI 1407205990

Teresa Guastella, PA-C is a Physician Assistant in Livonia, Michigan. Qualified in 2016, 10 years ago. Practices with Iha Olma Specialty 1 LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone: (734) 655-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007807 (MI)

Record details

NPI number1407205990
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2016
Last updated in NPPESJuly 8, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Iha Olma Specialty 1 Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Livonia