Active NPI
William De Guzman
- Physical Therapy Assistant
- Westminster, CA
National Provider Identifier
1023851466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52489
- Practice address
- 16401 Magnolia St Ste 108
Westminster, CA 92683-7868 - Phone
- (657) 271-2100
- NPI assigned
- Jun 14, 2024
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 52489 | CA | Primary |
Addresses
Primary practice location
16401 Magnolia St Ste 108
Westminster, CA 92683-7868
Mailing address
5140 N Raton Cir
Long Beach, CA 90807-1142
Phone (562) 309-5560
Other practice location 1
1176 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 772-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1023851466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N RATON CIR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908071142",
"telephone_number": "562-309-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16401 MAGNOLIA ST STE 108",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837868",
"telephone_number": "657-271-2100"
}
],
"practiceLocations": [
{
"address_1": "1176 N Euclid St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928011900",
"country_code": "US",
"telephone_number": "714-772-5040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.