Individual provider Active NPI

Stacy Ann Guzman, PA-C

  • Physician Assistant
  • Buttonwillow, CA
National Provider Identifier
1326298530
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19933 Issued in CA
Practice address
277 E. Front Steet
Buttonwillow, CA 93206-0917
Phone
(661) 764-5211
NPI assigned
Sep 24, 2008
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19933 CA Primary

Addresses

Primary practice location

277 E. Front Steet
Buttonwillow, CA 93206-0917

Mailing address

659 S Central Valley Hwy
P.O. Box 1060
Shafter, CA 93263-2790
Phone (661) 459-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000738 CA Practitioner - Physician Assistant 9931371184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

1100 4TH St
Taft, CA 93268-2415
Phone (866) 707-6664

2101 7TH St
Suite a F
Wasco, CA 93280-1502
Phone (866) 707-6664

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Aug 29, 2011 Accepting new patients
Omni Family Health CurrentSince Aug 29, 2011 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health Past Accepting new patients
Omni Family Health Past Accepting new patients
Omni Family Health PastSince Jun 29, 2025 Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

900 N Heritage Dr
Ste E2
Ridgecrest, CA 93555
Phone (760) 446-7978

320 James St
Shafter, CA 93263
Phone (661) 459-1800

655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927

659 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1913

1100 4th St
Ste A
Taft, CA 93268

1100 4th St
Ste B
Taft, CA 93268
Phone (661) 765-5044

161 N Mill St
Tehachapi, CA 93561
Phone 66177255005530

2101 7th St
Bldg Af
Wasco, CA 93280

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: stacy.guzman.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1326298530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S CENTRAL VALLEY HWY",
            "address_2": "P.O. BOX 1060",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632790",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 E. FRONT STEET",
            "city": "BUTTONWILLOW",
            "state": "CA",
            "postal_code": "932060917",
            "telephone_number": "661-764-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buttonwillow, CA

Sources for this page

Verify at the official NPI Registry.