NPIMap

Organization Active NPI

Ernest V. de Guzman, M.D., a Professional Corporation

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1174703904
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A95424 Issued in CA
Legal business name
ERNEST V. DE GUZMAN, M.D., A PROFESSIONAL CORPORATION
Practice address
3010 1St Ave
San Diego, CA 92103-5816
Phone
(619) 295-2189
Fax
(619) 295-2362
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Ernest Visperas De Guzman, M.D.
Title
President
Phone
(619) 295-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A95424 CA Primary

Addresses

Primary practice location

3010 1St Ave
San Diego, CA 92103-5816

Mailing address

3010 1St Ave
San Diego, CA 92103-5816
Phone (619) 295-2189

National Provider Directory

National Provider Directory

Locations

3010 1st Ave
San Diego, CA 92103
Phone (619) 295-2189

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1174703904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035816",
            "telephone_number": "619-295-2189",
            "fax_number": "619-295-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035816",
            "telephone_number": "619-295-2189",
            "fax_number": "619-295-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST V. DE GUZMAN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "VISPERAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-2189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "A95424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.