Individual provider Active NPI

Daisy De Guia De Guzman, M.D.

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1699865097
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18593 Issued in NV
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

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516002108 NV Practitioner - Internal Medicine 3476659772 Reassigns benefits to 2 organizations

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
Dana Forte D O LTDGroup PAC ID 1254239387, 14 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Forte D O LTD Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Brain Power Medical Center LLC Current Accepting new patients
Brain Power Medical Center LLC CurrentSince Aug 1, 2024 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.

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

Verify at the official NPI Registry.