Individual provider Active NPI

Eugene Guzman, PA

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1235228594
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10200 Issued in CA
Practice address
947 Blanco Cir
Ste a
Salinas, CA 93901-4461
Phone
(831) 422-5555
Fax
(831) 422-5199
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10200 CA Primary

Addresses

Primary practice location

947 Blanco Cir
Ste a
Salinas, CA 93901-4461

Mailing address

4 Rossi Cir Ste 101
Salinas, CA 93907-2358
Phone (831) 757-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000396 CA Practitioner - Physician Assistant 8325085335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc. CurrentSince Apr 19, 2010 Accepting new patients

Locations

99 Airport Blvd
Freedom, CA 95019
Phone (831) 724-7521

285 Mercey Springs Rd
Ste A
Los Banos, CA 93635
Phone (209) 829-0444

947 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 422-5555

4 Rossi Cir
Ste 101
Salinas, CA 93907
Phone (831) 424-5565

2524 H Dela Rosa SR St
Soledad, CA 93960
Phone (831) 596-6500

Interoperability endpoints

  • Direct secure messaging: eugene.guzman@3856.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1235228594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSSI CIR STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939072358",
            "telephone_number": "831-757-4444",
            "fax_number": "831-757-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 BLANCO CIR",
            "address_2": "STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014461",
            "telephone_number": "831-422-5555",
            "fax_number": "831-422-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.