Fernando Francisco Deguzman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00021562 Issued in WA

Practice address

3716 Pacific Ave
Suite D
Tacoma, WA 98418-7836

Phone

(253) 474-7719

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• J E Parales Medical PLLC

  • Primary Care Nurse Practitioner
  • Tacoma, WA
  • NPI 1417603739
  NPD (past)
• Southwest Portland Medical Clinic Inc

  • Primary Care Clinic/Center
  • Tacoma, WA
  • NPI 1245566843
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558409441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SW CAMPUS DR",
            "address_2": "#5-7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980235363",
            "telephone_number": "253-988-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 PACIFIC AVE",
            "address_2": "SUITE D",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187836",
            "telephone_number": "253-474-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "FERNANDO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00021562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117191",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evgeny V Degodyuk, RN
• Cecilia C Degrate, BT
• Degrate., PLLC
• Degray Dialysis
• Rebecca Degroot
• Preston John Dehan
• Khashayar Dehghan, M.D., PHD
• Richard Dehlinger, MD
• Douglas Anthony Dejoe
• Ketrah Dekanich

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.