Jayceelyn Guzman Delacruz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 15597 Issued in CA

Practice address

16415 Colorado Ave
Suite 207
Paramount, CA 90723-5035

Phone

(562) 602-2334

NPI assigned

Mar 15, 2007

Last updated

Sep 11, 2007By 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

Other names 1

• Jayceelyn Delacruz Yriarte Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1629102173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE",
            "address_2": "SUITE 207",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE",
            "address_2": "SUITE 207",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035",
            "telephone_number": "562-602-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "JAYCEELYN",
        "middle_name": "GUZMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 15597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYCEELYN",
            "last_name": "YRIARTE",
            "middle_name": "DELACRUZ",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dobson International Inc (Dobson Medical (Equipment) Supply)

• Nurse Practitioner in Paramount, CA
• Providers in Paramount, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.