Individual provider Active NPI

Ernie Guzman, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1811924491
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G61703 Issued in CA
Practice address
1701 E Cesar E Chavez Ave
Suite 456
Los Angeles, CA 90033-2464
Phone
(323) 987-1200
Fax
(323) 987-1212
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X G61703 CA
Pediatrics Physician 208000000X G61703 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave
Suite 456
Los Angeles, CA 90033-2464

Mailing address

1701 E Cesar E Chavez Ave
Suite 532
Los Angeles, CA 90033-2464
Phone (323) 987-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170814002951 CA Practitioner - Pediatric MedicinePractitioner - Infectious Disease 9234401050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G61703CAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Community Health Center Pediatrics CurrentSince Jun 26, 2017 Accepting new patients
White Memorial Community Health Center Pediatrics CurrentSince Jun 26, 2017 Accepting new patients
Danielle Borut MD Inc Samuel Bruttomesso MD Inc Et Al PTR White Memori Pediatrics Past Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 456
Los Angeles, CA 90033
Phone (323) 263-9866

1828 E Cesar E Chavez Ave
Ste 4300
Los Angeles, CA 90033
Phone (323) 987-1200

1828 E Cesar E Chavez Ave
Ste 1600
Los Angeles, CA 90033

1828 E Cesar E Chavez Ave
Ste 5000
Los Angeles, CA 90033
Phone (323) 859-3642

1828 E Cesar E Chavez Ave
Ste 6100
Los Angeles, CA 90033
Phone (323) 859-3627

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECHBA

Organizations & group practices 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1811924491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 532",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 456",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ERNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G61703",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G61703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.