Efrain Padilla Guzman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17040 Issued in PR

Practice address

2495 Shreveport Hwy # 162
Pineville, LA 71360-4044

Phone

(318) 290-9603

NPI assigned

Feb 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1336318906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 WELLINGTON BLVD # 162",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032519",
            "telephone_number": "318-290-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY # 162",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-290-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA GUZMAN",
        "first_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17040",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301117215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Ogle, LMT
• Omotayo Mutiat Olatinwo, M.D.
• Janet Leckie Opdenhoff, LMT
• Marian W Oquin, MSW, LCSW-BACS
• Maciah Leeanne Ortman
• Isabella Palmer, PHARMD
• Jajuanna Michelle Pardue
• Mallorie McDowell Parham, PA-C
• Gregg Scott Parker, MD
• Nellie Rena Parker, BEHAVIOR SHAPING SPE

• General Practice Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.