Individual provider Active NPI

Victoria De Guzman Fernando, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Clovis, NM
National Provider Identifier
1073517686
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD2010-0102 Issued in NM
Practice address
2100 N Martin Luther King Jr Blvd
Emergency Medicine Department
Clovis, NM 88101
Phone
(601) 765-3180
Fax
(601) 765-2808
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18178 MS
Internal Medicine Physician 207R00000X N2073 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD2010-0102 NM Primary

Addresses

Primary practice location

2100 N Martin Luther King Jr Blvd
Emergency Medicine Department
Clovis, NM 88101

Mailing address

2100 Martin Luther King Jr Blvd
Clovis, NM 88101
Phone (575) 769-7335

Other identifiers 1

IdentifierTypeStateIssuer
00737798MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080714000185 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 7517856263 Reassigns benefits to 11 organizations
I20100427000232 NM Practitioner - Emergency MedicinePractitioner - Family Practice 7517856263 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine, Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altus Exceptional Physician Group PLLC 21 clinicians

Practice addresses (Care Compare)

1535 W Loop S
Suite 450
Houston, TX 77027-9510
Phone (832) 219-3833

Hospital & facility affiliations

  • CCN 670330 Hospital, CCN 670330
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18178MSMDEmergency Medicine Physician
MD2010-0102NMMDEmergency Medical Services (Emergency Medicine) Physician
N2073TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 20, 2024 Accepting new patients
Maverick Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 17, 2016 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 6, 2013 Accepting new patients
West Texas Urgent Care LLC CurrentSince Jan 6, 2018 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 25, 2015 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Oct 20, 2015 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jun 7, 2010 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jun 7, 2010 Accepting new patients
Presbyterian Healthcare Services Internal Medicine Current Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 6, 2013 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Jan 20, 2015 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Curry Emergency Group LLC Emergency Medicine CurrentSince Feb 15, 2016 Accepting new patients
Ess Hospitalist LLC CurrentSince Jul 15, 2012 Accepting new patients
West Texas Urgent Care LLC CurrentSince Jan 6, 2018 Accepting new patients
New Mexico Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
Alteon Health New Mexico LLC Emergency Medicine Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Texas Tech University Health Sciences Center University Associates Internal Medicine Past Accepting new patients
Pinyon Pines Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations (25 of 33)

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

2101 S Coulter St
Amarillo, TX 79106
Phone (806) 310-5086

5800 S Coulter St
Amarillo, TX 79119
Phone (806) 398-7744

2105 S Western St
Amarillo, TX 79109
Phone (806) 353-3200

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

449 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 435-0452

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

2744 W University Dr
Edinburg, TX 78539
Phone (956) 380-8080

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

6902 W Expressway 83
Harlingen, TX 78552
Phone (956) 567-0371

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

5100 W Expressway 83
McAllen, TX 78501
Phone (956) 928-7200

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

Organizations & group practices 24

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.

View all 24

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1073517686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARTIN LUTHER KING JR BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-7335",
            "fax_number": "575-769-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MARTIN LUTHER KING JR BLVD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "601-765-3180",
            "fax_number": "601-765-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "VICTORIA",
        "middle_name": "DE GUZMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18178",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2073",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NM",
            "license": "MD2010-0102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00737798",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.