Organization Active NPI

David L Guzman D.P.M. Professional Corporation

  • Specialist
  • Napa, CA
National Provider Identifier
1013180215
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3825 Issued in CA
Legal business name
DAVID L GUZMAN D.P.M. PROFESSIONAL CORPORATION
Practice address
3379 Beard Rd
Napa, CA 94558-3407
Phone
(707) 224-4800
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David L Guzman, D.P.M.NPI 1740208586
Title
Owner
Phone
(707) 315-5918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E3825 CA Primary

Addresses

Primary practice location

3379 Beard Rd
Napa, CA 94558-3407

Mailing address

3379 Beard Rd
Napa, CA 94558-3407
Phone (707) 224-4800

Other names 1

  • NORTH BAY FOOT CLINICS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080709000310 CA Part B Supplier - Clinic/Group Practice 3476625302 Receives reassigned benefits from 1 practitioner
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Locations

3379 Beard Rd
Napa, CA 94558
Phone (707) 224-4800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1013180215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583407",
            "telephone_number": "707-224-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583407",
            "telephone_number": "707-224-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L GUZMAN D.P.M. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-315-5918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "E3825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH BAY FOOT CLINICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.