Active NPI
Benny J Guzman M D Corporation
- Student in an Organized Health Care Education/Training Program
- Chino Hills, CA
National Provider Identifier
1487742979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- A72290
- Legal business name
- BENNY J GUZMAN M D CORPORATION
- Practice address
- 5827 Pine Ave
Suite a
Chino Hills, CA 91709-6534 - Phone
- (909) 613-0016
- Fax
- (909) 613-0026
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benny Guzman, MD
- Title
- Ceo
- Phone
- (909) 613-0016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | A72290 | CA | Primary |
Addresses
Primary practice location
5827 Pine Ave
Suite a
Chino Hills, CA 91709-6534
Mailing address
5827 Pine Ave Ste a
Chino Hills, CA 91709-6534
Phone (909) 613-0016
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A722901 | Medicaid | CA | |
| 00A722900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070815000839 | CA | Part B Supplier - Clinic/Group Practice | 8527150903 | Practice locations: Chino Hills, CA; Fontana, CA |
National Provider Directory
National Provider DirectoryLocations
3580 Grand Ave
Ste G
Chino Hills, CA 91709
Phone (909) 465-1809
3580 Grand Ave
Ste A
Chino Hills, CA 91709
16127 Foothill Blvd
Fontana, CA 92335
Phone (909) 347-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1487742979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5827 PINE AVE STE A",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096534",
"telephone_number": "909-613-0016",
"fax_number": "909-613-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5827 PINE AVE",
"address_2": "SUITE A",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096534",
"telephone_number": "909-613-0016",
"fax_number": "909-613-0026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNY J GUZMAN M D CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "BENNY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-613-0016",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "A72290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A722901",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A722900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.