Individual provider Active NPI

Bianca Guzman

  • Physical Therapist
  • South Pasadena, CA
National Provider Identifier
1851608566
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36830 Issued in CA
Practice address
1708 Meridian Ave Apt a
South Pasadena, CA 91030-5505
Phone
(323) 513-7232
NPI assigned
Sep 2, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36830 CA Primary
Pediatric Physical Therapist 2251P0200X 36830 CA
Orthopedic Physical Therapist 2251X0800X 36830 CA

Addresses

Primary practice location

1708 Meridian Ave Apt a
South Pasadena, CA 91030-5505

Mailing address

1708 Meridian Ave Apt a
South Pasadena, CA 91030-5505
Phone (323) 513-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140515001088 CA Practitioner - Physical Therapist in Private Practice 9335362540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Injury Physical Therapy IncGroup PAC ID 1658308572, 7 clinicians

Practice addresses (Care Compare)

801 S Raymond Ave
Pasadena, CA 91105-3223
Phone (626) 356-0599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Injury Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients
Kevin Wentz Physical Therapy Corporation Physical Therapist Past Accepting new patients

Locations

801 S Raymond Ave
Pasadena, CA 91105
Phone (626) 356-0599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1851608566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MERIDIAN AVE APT A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305505",
            "telephone_number": "323-513-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 MERIDIAN AVE APT A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305505",
            "telephone_number": "323-513-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36830",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "36830",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "36830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.