Individual provider Active NPI

Maria Eugenia Cortes Guzman, LVN

  • Licensed Vocational Nurse
  • Canyon Country, CA
National Provider Identifier
1629500681
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
290630 Issued in CA
Practice address
27639 Marta LN Apt 203
Canyon Country, CA 91387-6520
Phone
(818) 744-2993
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 290630 CA Primary

Addresses

Primary practice location

27639 Marta LN Apt 203
Canyon Country, CA 91387-6520

Mailing address

27639 Marta LN Apt 203
Canyon Country, CA 91387-6520
Phone (818) 744-2993

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

LicenseStateTypeSpecialty
290630CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1629500681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27639 MARTA LN APT 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876520",
            "telephone_number": "818-744-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27639 MARTA LN APT 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876520",
            "telephone_number": "818-744-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES GUZMAN",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "290630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.