Individual provider Active NPI

John Joseph De Guzman, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1306626759
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN811917 Issued in NV
Practice address
1655 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone
(702) 476-9999
NPI assigned
Oct 3, 2023
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN811917 NV Primary

Addresses

Primary practice location

1655 W Horizon Ridge Pkwy
Henderson, NV 89012-3494

Mailing address

9033 W Sahara Ave
Las Vegas, NV 89117-5745
Phone (702) 476-9999

Other identifiers 1

IdentifierTypeStateIssuer
250027915MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20231027000804 NV Practitioner - Nurse Practitioner 0840646857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coppel Medical Enterprise LLCGroup PAC ID 8921140641, 20 clinicians
Pulmonology Group LLCGroup PAC ID 3274846001, 10 clinicians

Practice addresses (Care Compare)

1569 E Flamingo Rd
Las Vegas, NV 89119-5321
Phone (702) 476-9999

2970 W Horizon Ridge Pkwy
Henderson, NV 89052-3986
Phone (702) 780-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN811917NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Coppel Medical Enterprise LLC CurrentSince Oct 15, 2023 Accepting new patients
Munawar a Qurashi MD LLC CurrentSince Jan 1, 2025 Accepting new patients
Centennial Hills Hospital Medical Center PastSince Oct 15, 2023 Accepting new patients
North Vista Hospital LLC PastSince Apr 21, 2024 Accepting new patients

Locations

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

1655 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 914-2790

2970 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 780-0300

1569 E Flamingo Rd
Las Vegas, NV 89119
Phone (701) 476-1800

2501 Fire Mesa St
Ste 102
Las Vegas, NV 89128

2501 Fire Mesa St
Ste 150
Las Vegas, NV 89128

2809 W Charleston Blvd
#150
Las Vegas, NV 89102
Phone 70247699997014

2809 W Charleston Blvd
Ste 150
Las Vegas, NV 89102

9033 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 478-1878

1610 E Lake Mead Blvd
North Las Vegas, NV 89030

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1306626759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175745",
            "telephone_number": "702-476-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-476-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "JOHN JOSEPH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN811917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250027915",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.