Active NPI
Leonard Deguzman
- Mental Health Counselor
- Richmond, CA
National Provider Identifier
1245664036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 207 37TH St
Richmond, CA 94805 - Phone
- (510) 233-7555
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10663-R | CA | |
| Marriage & Family Therapist | 106H00000X | 70219 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
207 37TH St
Richmond, CA 94805
Mailing address
101 Gough St
San Francisco, CA 94102-5903
Other practice location 1
101 Gough St
San Francisco, CA 94102-5903
Phone (415) 553-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10663-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 70219 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1245664036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 37TH ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94805",
"telephone_number": "510-233-7555"
}
],
"practiceLocations": [
{
"address_1": "101 Gough St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941025903",
"country_code": "US",
"telephone_number": "415-553-4490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "LEONARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "10663-R",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "70219",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.