Olivia Guzman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

CA15046 Issued in CA

Practice address

1150 Main St Ste 3
Watsonville, CA 95076-3760

Phone

(831) 728-0551

Fax

(831) 728-3279

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Plazita Medical Clinic Inc

  • Family Medicine Physician
  • Watsonville, CA
  • NPI 1801808357
  Medicare reassignment
• Plazita Medical Clinic, Inc.

  • Non-Pharmacy Dispensing Site
  • Watsonville, CA
  • NPI 1306061858
  NPD

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1326275587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MONTEREY VISTA CT",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766605",
            "telephone_number": "831-247-4190",
            "fax_number": "831-728-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAIN ST STE 3",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763760",
            "telephone_number": "831-728-0551",
            "fax_number": "831-728-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "CA15046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anamaria Guzman, RN, IBCLC
• Anisa Marlouwella Guzman I
• Cristina Guzman, RN
• Gonzalo Guzman
• Kathy Sue Guzman
• Hablamos ABA Therapy, LLC
• Rhea Hadzis
• Melynda Hager, PHARM.D.
• Halcyon Horizons, Inc. (Elevate Addiction Services)
• Hannah Hamalainen

• Medical Physician Assistant in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.

Verify at the official NPI Registry.