Active NPI
Cecilia Guzman, PTA
- Physical Therapy Assistant
- South San Francisco, CA
National Provider Identifier
1548635204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10866
- Practice address
- 192 Bacon Street
South San Francisco, CA 94080-6913 - Phone
- (650) 204-0106
- NPI assigned
- Dec 7, 2015
- Last updated
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10866 | CA | Primary |
Addresses
Primary practice location
192 Bacon Street
South San Francisco, CA 94080-6913
Mailing address
192 Bacon St
South San Francisco, CA 94080-6913
Phone (650) 204-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10866 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1548635204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 BACON ST",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806913",
"telephone_number": "650-204-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 BACON STREET",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806913",
"telephone_number": "650-204-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "CECILIA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.