Individual provider Active NPI

Carlos Santana Guzman, M.D

  • Psychiatry Physician
  • Corcoran, CA
National Provider Identifier
1053748681
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C207723 Issued in CA
Practice address
4001 King Ave
Corcoran, CA 93212-9611
Phone
(787) 934-4327
NPI assigned
Sep 27, 2013
Last updated
Sep 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19165 PR
Psychiatry Physician 2084P0800X C207723 CA Primary

Addresses

Primary practice location

4001 King Ave
Corcoran, CA 93212-9611

Mailing address

6324 W Doe Ave Apt 203
Visalia, CA 93291-8278
Phone (787) 934-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000432 PR Practitioner - Psychiatry 9234677964 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19165PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Hospital Panamericano Inc Past Accepting new patients
Centro de Ginecologia de Cayey LLC PastSince Sep 27, 2020 Accepting new patients
Centro de Cardiologia de Cayey LLC PastSince Jun 2, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjccsantan@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1053748681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 W DOE AVE APT 203",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918278",
            "telephone_number": "787-934-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "787-934-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA GUZMAN",
        "first_name": "CARLOS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19165",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C207723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corcoran, CA

Sources for this page

Verify at the official NPI Registry.