NPIMap

Individual provider Active NPI

Julio V Guzman, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1184653628
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A066211 Issued in CA
Practice address
4214 Beverly Blvd
212
Los Angeles, CA 90004-4479
Phone
(213) 385-9912
Fax
(213) 385-9915
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A066211 CA Primary

Addresses

Primary practice location

4214 Beverly Blvd
212
Los Angeles, CA 90004-4479

Mailing address

4214 Beverly Blvd
212
Los Angeles, CA 90004-4479
Phone (213) 385-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000121 CA Practitioner - Family Practice 1456436534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4214 Beverly Blvd
Suite 212
Los Angeles, CA 90004-4429
Phone (213) 385-9912

Hospital & facility affiliations

  • Medco Home Health Care Inc Home health agency, Los Angeles, CA, CCN 553121
  • Kindcare Home Health, Inc Home health agency, Los Angeles, CA, CCN 559038
  • Wellbe Home Health Inc Home health agency, Simi Valley, CA, CCN 757373
  • Sors Hospice, Inc Hospice, Los Angeles, CA, CCN B41595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066211CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julio V Guzman MD Inc Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Pacific Health Services, Inc. PastSince Apr 30, 2003 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

4214 Beverly Blvd
Ste 212
Los Angeles, CA 90004
Phone (213) 385-9912

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184653628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 BEVERLY BLVD",
            "address_2": "212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044479",
            "telephone_number": "213-385-9912",
            "fax_number": "213-385-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 BEVERLY BLVD",
            "address_2": "212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044479",
            "telephone_number": "213-385-9912",
            "fax_number": "213-385-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JULIO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A066211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.