Active NPI
Lisandra Perez Guzman, M.D., MPH
- Public Health & General Preventive Medicine Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD160519
- Practice address
- 151 W 7TH Ave Ste 100
Eugene, OR 97401-2676 - Phone
- (541) 682-3550
- NPI assigned
- Apr 19, 2010
- Last updated
- Oct 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD160519 | OR | Primary |
Addresses
Primary practice location
151 W 7TH Ave Ste 100
Eugene, OR 97401-2676
Mailing address
2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500655632 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Loma Linda University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2280 Marcola Rd
Springfield, OR 97477-2594
Phone (541) 747-4300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Homes, LLC | Current | Accepting new patients | |
| Northwest Medical Homes, LLC | Current | Accepting new patients | |
| Northwest Medical Homes, LLC | Current | Accepting new patients |
Locations
1800 Centennial Blvd
Springfield, OR 97477
Phone (541) 747-4300
2280 Marcola Rd
Springfield, OR 97477
Phone (541) 747-4300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEGCAA
- lisandra.perezguzman.p1@direct.lanecounty.nextgenshare.com
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.
-
dba Springfield Family Physicians
- Family Medicine Physician
- Springfield, OR
- NPI 1114974946
-
dba Centennial Clinic
- Family Medicine Physician
- Springfield, OR
- NPI 1114396199
-
dba McKenzie Valley Primary Care
- Family Medicine Physician
- Eugene, OR
- NPI 1174053094
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1063738870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2073 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974773413",
"telephone_number": "541-682-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W 7TH AVE STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012676",
"telephone_number": "541-682-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GUZMAN",
"first_name": "LISANDRA",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OR",
"license": "MD160519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500655632",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.