Active NPI
Richard Victor Guzzetta, MD
- Addiction (Substance Use Disorder) Counselor
- Clovis, CA
National Provider Identifier
1265422695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- G40600
- Practice address
- 312 5TH St Ste B
Clovis, CA 93612-1058 - Phone
- (559) 285-5723
- Fax
- (559) 323-4498
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | G40600 | CA | |
| Pain Medicine Physician | 208VP0000X | G40600 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | G40600 | CA | Primary |
| Mental Health Counselor | 101YM0800X | G40600 | CA | |
| Specialist | 174400000X | G40600 | CA | |
| Research Study Specialist | 1744R1102X | G40600 | CA | |
| Research Study Abstracter/Coder | 1744R1103X | G40600 | CA | |
| Family Medicine Physician | 207Q00000X | G40600 | CA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | G40600 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | G40600 | CA |
Addresses
Primary practice location
312 5TH St Ste B
Clovis, CA 93612-1058
Mailing address
312 5TH St Ste B
Clovis, CA 93612-1058
Phone (559) 285-5723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G406000 | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090114000847 | CA | Practitioner - Family Practice | 5991868010 | Practice locations: Clovis, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1265422695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 5TH ST STE B",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121058",
"telephone_number": "559-285-5723",
"fax_number": "559-323-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 5TH ST STE B",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121058",
"telephone_number": "559-285-5723",
"fax_number": "559-323-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZZETTA",
"first_name": "RICHARD",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2024-10-22",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "G40600",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "1744R1103X",
"taxonomy_group": "",
"desc": "Specialist, Research Data Abstracter/Coder",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "G40600",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "G40600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G406000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.