Active NPI
Ryan Guzman
- Orthopedic Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1053957241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT297630
- Practice address
- 23001 Del Lago Dr
Laguna Hills, CA 92653-1354 - Phone
- (949) 387-7333
- NPI assigned
- Nov 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT297630 | CA | Primary |
Addresses
Primary practice location
23001 Del Lago Dr
Laguna Hills, CA 92653-1354
Mailing address
8535 E Baker Hill Rd Unit H
Orange, CA 92869-5839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23001 Del Lago Dr
Suite C1
Laguna Hills, CA 92653-1354
Phone (949) 387-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297630 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
Locations
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
23001 Del Lago Dr
Ste C1
Laguna Hills, CA 92653
Phone (949) 387-7331
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1073170437
Orthopedic
-
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1487648341
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1053957241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8535 E BAKER HILL RD UNIT H",
"city": "ORANGE",
"state": "CA",
"postal_code": "928695839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23001 DEL LAGO DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531354",
"telephone_number": "949-387-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-22",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT297630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.