Active NPI
Tita de Guzman Insurance Agency Inc
- Intellectual Disabilities Intermediate Care Facility
- Artesia, CA
National Provider Identifier
1831373612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 960000925
- Legal business name
- TITA DE GUZMAN INSURANCE AGENCY INC
- Practice address
- 11417 183Rd St
Artesia, CA 90701-5501 - Phone
- (562) 809-6098
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tita De Guzman
- Title
- Ceo/Licensee
- Phone
- (909) 348-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 960000925 | CA | Primary |
Addresses
Primary practice location
11417 183Rd St
Artesia, CA 90701-5501
Mailing address
1241 South Grand Ave
Suite H
Diamond Bar, CA 91765
Phone (909) 348-0444
National Provider Directory
National Provider Directory- Tax ID family
- Tita de Guzman Insurance Agency
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Gardena, CA
- NPI 1205010824
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Walnut, CA
- NPI 1144432824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1831373612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 SOUTH GRAND AVE",
"address_2": "SUITE H",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "91765",
"telephone_number": "909-348-0444",
"fax_number": "909-348-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 183RD ST",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015501",
"telephone_number": "562-809-6098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TITA DE GUZMAN INSURANCE AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "DE GUZMAN",
"authorized_official_first_name": "TITA",
"authorized_official_title_or_position": "CEO/LICENSEE",
"authorized_official_telephone_number": "909-348-0444",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "960000925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.