Candy Grace Jacome De Guzman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

950174472 Issued in CA

Practice address

12681 Haster St
Garden Grove, CA 92840-6040

Phone

(714) 971-2153

NPI assigned

Oct 29, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Medical Group,IncGroup PAC ID 4385883958, 54 clinicians

Health Lync Medical Group IncGroup PAC ID 4587109913, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689
  Medicare reassignment Care Compare group NPD
• Health Lync Medical Group, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1538908967
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD
• Mpac SMH of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821660960

  CA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1548924012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12681 HASTER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406040",
            "telephone_number": "714-971-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12681 HASTER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406040",
            "telephone_number": "714-971-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "CANDY GRACE",
        "middle_name": "JACOME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "950174472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawna Phan & Mindy Phan a Professional Dental Corp. (oc tooth fairy dental)
• Emily Day
• Dayle McIntosh Center for the Disabled
• Jennifer Rose De Castro
• Iny De Croos
• Richard De Jesus
• Izabella Victorya De la Cruz
• Jazlyn De la Cruz
• Julissa De la Cruz
• Sabrina Lopez De la Cruz, BCBA

• Family Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.