Individual provider Active NPI

Richard Victor Guzzetta, MD

  • Addiction (Substance Use Disorder) Counselor
  • Clovis, CA
National Provider Identifier
1265422695
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
G40600 Issued in CA
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

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G406000MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000847 CA Practitioner - Family PracticePractitioner - Addiction Medicine 5991868010 Practice locations: Clovis, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners PastSince Nov 1, 2021 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.

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

Verify at the official NPI Registry.