Active NPI
Daisy De Guia De Guzman, M.D.
- Internal Medicine Physician
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18593
- Practice address
- 2828 E Lake Mead Blvd
North Las Vegas, NV 89030-6548 - Phone
- (702) 551-2222
- Fax
- (702) 448-4755
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18593 | NV | Primary |
Addresses
Primary practice location
2828 E Lake Mead Blvd
North Las Vegas, NV 89030-6548
Mailing address
2828 E Lake Mead Blvd
North Las Vegas, NV 89030-6548
Phone (702) 808-3034
Other names 1
- Dr. Daisy Lopez De Guia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone (702) 240-8646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Forte D O LTD | Internal Medicine | Current | Accepting new patients |
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Serena Q Lee MD PA | Internal Medicine | Past | Accepting new patients |
Locations
1535 W Warm Springs Rd
Ste 135
Henderson, NV 89014
Phone (702) 450-3385
4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345
4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800
9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1699865097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890306548",
"telephone_number": "702-808-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890306548",
"telephone_number": "702-551-2222",
"fax_number": "702-448-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "DAISY",
"middle_name": "DE GUIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "18593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAISY",
"last_name": "DE GUIA",
"middle_name": "LOPEZ",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.