Organization Active NPI

Thomas V Deguzman, PT, a Professional Corp

  • Physical Therapy Clinic/Center
  • Tustin, CA
National Provider Identifier
1770523979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT14506 Issued in CA
Legal business name
THOMAS V DEGUZMAN, PT, A PROFESSIONAL CORP
Practice address
13372 Newport Ave
Suite I
Tustin, CA 92780-3426
Phone
(714) 832-7999
Fax
(714) 832-7081
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ramona Lipa Deguzman
Title
Administrator
Phone
(626) 918-1776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT14506 CA Primary

Addresses

Primary practice location

13372 Newport Ave
Suite I
Tustin, CA 92780-3426

Mailing address

13372 Newport Ave
Suite I
Tustin, CA 92780-3426
Phone (714) 832-7999

Other names 1

  • Tustin Rehab Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preferred Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770523979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE",
            "address_2": "SUITE I",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-832-7999",
            "fax_number": "714-832-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE",
            "address_2": "SUITE I",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-832-7999",
            "fax_number": "714-832-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS V DEGUZMAN, PT, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "LIPA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-918-1776"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT14506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.