Angeline Yague De Guzman, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A50299 Issued in CA

Practice address

301 East Cook Street
Suite K
Santa Maria, CA 93454

Phone

(805) 922-2477

Fax

(805) 922-2669

NPI assigned

Nov 21, 2006

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Angeline Yague De Guzman Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• 101 Mobile Medical Group

  • Public Health & General Preventive Medicine Physician
  • Westminster, CA
  • NPI 1740177864
  Medicare reassignment NPD
• Angels Behavioral Therapy Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1174410294
  Medicare reassignment NPD
• Best Healthcare Access

  • Public Health & General Preventive Medicine Physician
  • Glendale, CA
  • NPI 1710592126
  Medicare reassignment NPD
• Best Healthcare Access Norcal

  • Primary Care Nurse Practitioner
  • Pacifica, CA
  • NPI 1295423481
  Medicare reassignment NPD
• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1437224896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST COOK STREET",
            "address_2": "SUITE K",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-922-2477",
            "fax_number": "805-922-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST COOK STREET",
            "address_2": "SUITE K",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-922-2477",
            "fax_number": "805-922-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "ANGELINE",
        "middle_name": "YAGUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A50299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINE",
            "last_name": "DE GUZMAN",
            "middle_name": "YAGUE",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas M. Dawes Jr., MD
• Dawoom Healthcare Center, Inc.
• Jasmyn Day
• Lindsey Nicole Day
• Aimee De Guzman, CNM
• Lillianne De la Paz
• Ivan Karol De Leon Aguilar
• Cecelia May Dean, RNFA
• Joel Glenn Dean, MD
• Traylisha Rae Dearman

• Child & Adolescent Psychiatry Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.