Individual provider Active NPI

Vanessa Guzman

  • Physician Assistant
  • Indio, CA
National Provider Identifier
1588190664
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA54785 Issued in CA
Practice address
82151 Avenue 42 Ste 100
Indio, CA 92203-9313
Phone
(442) 224-6968
NPI assigned
May 10, 2017
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA54785 CA Primary

Addresses

Primary practice location

82151 Avenue 42 Ste 100
Indio, CA 92203-9313

Mailing address

8780 19TH St # 300
Alta Loma, CA 91701-4608
Phone (617) 528-9406

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171107001067 CA Practitioner - Physician Assistant 6709142854 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

2010 E Carson St
Long Beach, CA 90807-3040
Phone (562) 424-5450

2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070

2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100

5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883

555 E Ocean Blvd
Suite 110
Long Beach, CA 90802-5084
Phone (562) 285-5050

725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA54785CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jun 29, 2020 Accepting new patients
Exer Medical Corporation CurrentSince Feb 1, 2026 Accepting new patients
West Hollywood Urgent Care CurrentSince Sep 29, 2020 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Sep 29, 2020 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations (25 of 27)

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

8900 Venice Blvd
Ste 109
Culver City, CA 90232
Phone (310) 295-9029

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

82151 Avenue 42
Ste 100
Indio, CA 92203
Phone (442) 215-1320

78965 Highway 111
La Quinta, CA 92253
Phone (760) 564-3230

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

555 E Ocean Blvd
Ste 110
Long Beach, CA 90802
Phone (310) 709-6199

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

4700 W Pico Blvd
Ste Gh
Los Angeles, CA 90019
Phone (323) 673-7031

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

6160 Laurel Canyon Blvd
Ste 160
North Hollywood, CA 91606
Phone (213) 267-6536

44419 Town Center Way
Ste E
Palm Desert, CA 92260
Phone (760) 469-9843

600 E Colorado Blvd
Ste 120
Pasadena, CA 91101
Phone (323) 301-7988

500 First St
Paso Robles, CA 93446
Phone (805) 226-4222

415 N Pacific Coast Hwy
Ste 101
Redondo Beach, CA 90277
Phone (310) 295-9064

3032 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 971-9957

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1588190664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 19TH ST # 300",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917014608",
            "telephone_number": "617-528-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82151 AVENUE 42 STE 100",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039313",
            "telephone_number": "442-224-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.