Active NPI
Mary Annthonette De Guzman
- Occupational Therapist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 16260 Ventura Blvd #600
Burbank, CA 91501 - Phone
- (818) 986-1977
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13092 | CA | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
16260 Ventura Blvd #600
Burbank, CA 91501
Mailing address
23454 Glenridge Dr
Newhall, CA 91321-3955
Phone (818) 748-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13092 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehab Inc | Current | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1124485438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23454 GLENRIDGE DR",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913213955",
"telephone_number": "818-748-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16260 VENTURA BLVD #600",
"city": "BURBANK",
"state": "CA",
"postal_code": "91501",
"telephone_number": "818-986-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "MARY ANNTHONETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "13092",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.