Active NPI
Victoria De Guzman Fernando, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD2010-0102
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00737798 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080714000185 | TX | Practitioner - Family Practice | 7517856263 | Reassigns benefits to 11 organizations |
| I20100427000232 | NM | Practitioner - Emergency Medicine | 7517856263 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altus Exceptional Physician Group PLLC
Practice addresses (Care Compare)
1535 W Loop S
Suite 450
Houston, TX 77027-9510
Phone (832) 219-3833
Hospital & facility affiliations
- CCN 670330
- Rio Grande Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18178 | MS | MD | Emergency Medicine Physician |
| MD2010-0102 | NM | MD | Emergency Medical Services (Emergency Medicine) Physician |
| N2073 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Shavano Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Maverick Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| West Texas Urgent Care LLC | Current | Accepting new patients | |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| Rio Grande Valley Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Ess of South Texas LLC | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Austin ER Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Altus Exceptional Physician Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Texas PA | Emergency Medicine | Current | Accepting new patients |
| Ess of Nacogdoches LLC | Emergency Medicine | Current | Accepting new patients |
| Curry Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| West Texas Urgent Care LLC | Current | 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.
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1730869207
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Clovis, NM
- NPI 1508223082
Emergency Medicine, NM
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Internal Medicine, NM
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1376114587
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Emergency Medicine, TX
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
Emergency Medicine, NM
-
- Emergency Medicine Physician
- Nacogdoches, TX
- NPI 1780139956
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Eagle Pass, TX
- NPI 1306806781
Emergency Medicine, TX
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1386325801
Hospital
-
- General Acute Care Hospital
- McAllen, TX
- NPI 1619924719
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.