Medicus Provider Services Inc

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

MEDICUS PROVIDER SERVICES INC

Practice address

29490 Kristine CT
Santa Clarita, CA 91387-1404

Phone

(818) 212-9260

NPI assigned

Feb 28, 2022

Last updated

Dec 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor T De Guzman, NPNPI 1740898386

Title

President

Phone

(818) 212-9260

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor De Guzman

  • Gerontology Nurse Practitioner
  • Valencia, CA
  • NPI 1740898386
  Authorized official Same address or phone
• Eyal Shtorch, MD

  • Nephrology Physician
  • Reseda, CA
  • NPI 1942395603
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1497401426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24808 SAND WEDGE LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552315",
            "telephone_number": "818-212-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29490 KRISTINE CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871404",
            "telephone_number": "818-212-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-212-9260",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cocoa McMillam
• Sandra Elaine McMullen, FNP
• Maribel A. Mecozzi, NP
• Medchoice Medical Group
• Medical Supply Buy
• Alison Renee Medina
• Bernadette Medina, SLPA
• Buenaventura Medina, PHARM.D
• Elizabeth Medina
• Medix Transportation

• Gerontology Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.