Active NPI
Sandra Guzman Fineman, PA
- Physician Assistant
- Garden Grove, CA
National Provider Identifier
1033425640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14930
- Practice address
- 12665 Garden Grove Blvd Ste 601
Garden Grove, CA 92843 - Phone
- (714) 537-1387
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14930 | CA | Primary |
Addresses
Primary practice location
12665 Garden Grove Blvd Ste 601
Garden Grove, CA 92843
Mailing address
2575 Yorba Linda Blvd
Fullerton, CA 92831-1699
Phone (714) 865-6968
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14930 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1033425640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 YORBA LINDA BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311699",
"telephone_number": "714-865-6968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD STE 601",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92843",
"telephone_number": "714-537-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINEMAN",
"first_name": "SANDRA",
"middle_name": "GUZMAN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2022-08-25",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.