Ria Marcelina Guzman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34965 Issued in CA

Practice address

17612 Beach Blvd Ste 1
Huntington Beach, CA 92647-6873

Phone

(714) 843-6288

Fax

(714) 843-6289

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871507384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17612 BEACH BLVD STE 1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476873",
            "telephone_number": "714-843-6288",
            "fax_number": "714-843-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17612 BEACH BLVD STE 1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476873",
            "telephone_number": "714-843-6288",
            "fax_number": "714-843-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "RIA",
        "middle_name": "MARCELINA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Gutierrez
• Samantha I Gutierrez
• Maria Elena Guzman Ayala, SUDRC-18013
• Jazmine Guzman
• Megan Guzman
• Samantha K Guzman, L.M.T
• H a Taxi,Inc.
• H. Moayeri, M.D.,Inc.
• Ann Ha, M.D.
• Lisa Ha, PT

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.