Tita Deguzman Insurance Agency, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TITA DEGUZMAN INSURANCE AGENCY, INC

Practice address

20652 Collegewood Dr
Walnut, CA 91789-1134

Phone

(909) 444-9167

Fax

(909) 444-9167

NPI assigned

May 4, 2007

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tita De Guzman

Title

Ceo

Phone

(909) 348-0444

Specialties & licenses 1

Addresses

Tax ID family

Tita de Guzman Insurance Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tita de Guzman Insurance Agency

  • Intellectual Disabilities Intermediate Care Facility
  • Gardena, CA
  • NPI 1205010824
  NPD tax ID
• Tita de Guzman Insurance Agency Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Artesia, CA
  • NPI 1831373612
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1144432824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 GRAND AVE",
            "address_2": "SUITE H",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654447",
            "telephone_number": "909-348-0444",
            "fax_number": "909-348-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20652 COLLEGEWOOD DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891134",
            "telephone_number": "909-444-9167",
            "fax_number": "909-444-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITA DEGUZMAN INSURANCE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "TITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-348-0444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Walnut, CA
• Providers in Walnut, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.