Individual provider Active NPI

Maricela. Lizzette Guzman, NP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1437811528
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018507 Issued in CA
Practice address
1671 W Main St Ste D
El Centro, CA 92243-5420
Phone
(760) 352-3366
Fax
(760) 352-3377
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018507 CA Primary

Addresses

Primary practice location

1671 W Main St Ste D
El Centro, CA 92243-5420

Mailing address

1072 Via Barranca
Calexico, CA 92231-4515
Phone (760) 235-9142

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
I20220919003225 CA Practitioner - Nurse Practitioner 4688067036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
S H Ahmed MD PHD IncGroup PAC ID 1052506987, 3 clinicians

Practice addresses (Care Compare)

1271 Ross Ave
El Centro, CA 92243-4304
Phone (760) 335-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S H Ahmed MD PHD Inc CurrentSince Aug 22, 2022 Accepting new patients
S.Hasnat Ahmed, MD, Apc Past Accepting new patients

Locations

1271 Ross Ave
El Centro, CA 92243
Phone (760) 335-3030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1437811528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 VIA BARRANCA",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314515",
            "telephone_number": "760-235-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W MAIN ST STE D",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435420",
            "telephone_number": "760-352-3366",
            "fax_number": "760-352-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARICELA.",
        "middle_name": "LIZZETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.