Jastine Saliva De Guzman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49966 Issued in CA

Practice address

1242 N Edgemont St Apt 6
Los Angeles, CA 90029-1482

Phone

(323) 474-8780

NPI assigned

May 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1043875305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 N EDGEMONT ST APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291482",
            "telephone_number": "323-474-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 N EDGEMONT ST APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291482",
            "telephone_number": "323-474-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 N Edgemont St Apt 6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900291482",
            "country_code": "US",
            "telephone_number": "323-474-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "JASTINE",
        "middle_name": "SALIVA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "deguzmanjastine@yahoo.com",
            "affiliation": "N",
            "address_1": "1242 N Edgemont St Apt 6",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900291482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James De Fontes III, MD
• Camille Fayola De Gale, LVN
• Carol De Gale, LVN
• Sara De Grakovac
• Dede Priscilla De Grazia
• Kimberly Rose De Guzman, MD, MPH
• Kristoffer Ian De Guzman, NP
• Mutya Joyce B De Guzman, FNP
• Lisa Holleh De Gyarfas, MS
• Fatima De Haro

• Physical Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.