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

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, NP

Title

President

Phone

(818) 212-9260

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.