Active NPI
Stefanie Guzman
- Rehabilitation Practitioner
- Long Beach, CA
National Provider Identifier
1376090225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 456 Elm Ave
Long Beach, CA 90802-2426 - Phone
- (562) 437-6717
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | R3481214 | CA | |
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
456 Elm Ave
Long Beach, CA 90802-2426
Mailing address
456 Elm Ave
Long Beach, CA 90802-2426
Phone (562) 437-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3481214 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1376090225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 ELM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022426",
"telephone_number": "562-437-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 ELM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022426",
"telephone_number": "562-437-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "STEFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "R3481214",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.