Individual provider Active NPI

Lisandra Perez Guzman, M.D., MPH

  • Public Health & General Preventive Medicine Physician
  • Eugene, OR
National Provider Identifier
1063738870
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD160519 Issued in OR
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500655632MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121226000434 OR Practitioner - Preventive Medicine 2567615503 Reassigns benefits to 1 organization

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
Northwest Medical Homes, LLCGroup PAC ID 0042100372, 31 clinicians

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

OrganizationSpecialtyStatusNew patients
Northwest Medical Homes, LLC CurrentSince Mar 1, 2025 Accepting new patients
Northwest Medical Homes, LLC Current Accepting new patients
Northwest Medical Homes, LLC CurrentSince Mar 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.