Tita de Guzman Insurance Agency

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960000845 Issued in CA

Legal business name

TITA DE GUZMAN INSURANCE AGENCY

Practice address

15319 Spinning Ave
Gardena, CA 90249-4143

Phone

(310) 768-8099

NPI assigned

Dec 18, 2007

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/Licensee

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 Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Artesia, CA
  • NPI 1831373612
  NPD tax ID
• Tita Deguzman Insurance Agency, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Walnut, CA
  • NPI 1144432824
  NPD tax ID

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1205010824",
    "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": "15319 SPINNING AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494143",
            "telephone_number": "310-768-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITA DE GUZMAN INSURANCE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "TITA",
        "authorized_official_title_or_position": "CEO/LICENSEE",
        "authorized_official_telephone_number": "909-348-0444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Delila Timmons
• Patricia Tindbaek, LCSW
• Elizabeth Tindell
• Lesly Tinoco Villasenor
• Ana Tiratira
• Tito V Duran and Josefina D Duran
• Jessie Tivao
• Humie To, MSW
• Jennifer To
• Amira Toadvine, RBT

• Intellectual Disabilities Intermediate Care Facility in Gardena, CA
• Providers in Gardena, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.