David Alfonso Guzman, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

41317 Issued in CA

Practice address

625 Fair Oaks Ave Ste 300
S Pasadena, CA 91030-5805

Phone

(626) 723-9438

NPI assigned

Sep 20, 2019

Last updated

Nov 20, 2023By the provider in NPPES

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

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1073164133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910302630",
            "telephone_number": "626-723-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 300",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910305805",
            "telephone_number": "626-723-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "DAVID",
        "middle_name": "ALFONSO",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Cohen, M.D.
• Ardalan Esakharian, DMD
• Fair Oaks Plaza Pharmacy Corp (Fair Oaks Pharmacy)
• John Logan Fox, MPT
• Monica Garcia
• Leticia M Guzman, RN
• Joyce Shuochun Kao, LAC
• Joy Hyejeong Kim
• Kristine Tatosyan-Jones MD Inc
• Grace Frances Lacovara

• Licensed Psychiatric Technician in S Pasadena, CA
• Providers in S Pasadena, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.