Maria Melisa Malabanan De Guzman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024577 Issued in CA

Practice address

1498 Southgate Ave # 102
Daly City, CA 94015-4015

Phone

(650) 755-4490

NPI assigned

Nov 24, 2022

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4

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.

• West Bay Nephrology Associates

  • Nephrology Physician
  • Daly City, CA
  • NPI 1336117829
  NPD
• West Coast Kidney

  dba West Coast Kidney Institute

  • Nephrology Physician
  • Concord, CA
  • NPI 1952914681
  NPD

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

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1467162925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015",
            "telephone_number": "650-755-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015",
            "telephone_number": "650-755-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "MARIA MELISA",
        "middle_name": "MALABANAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-24",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024577",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "687538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria David
• Alexandra Davidson, PSY.D.
• Nevaeh Davidson
• Hilary S Davis, MFT
• Gecelle Lumampao De Guia, DO
• Edmond Sto Domingo De Jesus, PHARMD
• Amanda De Souza
• Teresa Deanda
• Teresita Yee Degamo, MD
• Karina Ann Del Real

• Family Nurse Practitioner in Daly City, CA
• Providers in Daly City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.