Organization Active NPI

Julio V Guzman MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1518146414
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A66211 Issued in CA
Legal business name
JULIO V GUZMAN MD INC
Practice address
4214 Beverly Blvd Ste 212
Los Angeles, CA 90004-4429
Phone
(213) 385-9912
Fax
(213) 385-9915
NPI assigned
Oct 26, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Julio V Guzman, M.D.NPI 1184653628
Title
Owner
Phone
(213) 385-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A66211 CA Primary

Addresses

Primary practice location

4214 Beverly Blvd Ste 212
Los Angeles, CA 90004-4429

Mailing address

4214 Beverly Blvd Ste 212
Los Angeles, CA 90004-4429
Phone (213) 385-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000125 CA Part B Supplier - Clinic/Group Practice 5193800092 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0977169Julio Guzman MD4214 W Beverly Blvd Suite 212, Los Angeles, CA 90004Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

4214 Beverly Blvd
Ste 212
Los Angeles, CA 90004
Phone (213) 385-9912

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1518146414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 BEVERLY BLVD STE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044429",
            "telephone_number": "213-385-9912",
            "fax_number": "213-385-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 BEVERLY BLVD STE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044429",
            "telephone_number": "213-385-9912",
            "fax_number": "213-385-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO V GUZMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-385-9912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A66211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.