Ej Guzman, MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A50344 Issued in CA

Legal business name

EJ GUZMAN, MD INC

Practice address

11514 Rosecrans Ave
Norwalk, CA 90650-3802

Phone

(562) 929-9999

Fax

(562) 929-0891

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Jose Guzman, MDNPI 1982610887

Title

Owner/Medical Director

Phone

(562) 929-9999

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo J Guzman, MD

  • Obstetrics & Gynecology Physician
  • Norwalk, CA
  • NPI 1982610887
  Medicare reassignment NPD Authorized official
• Sandra Nieto, MD

  • Obstetrics & Gynecology Physician
  • Montebello, CA
  • NPI 1003830258
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891984670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503802",
            "telephone_number": "562-929-9999",
            "fax_number": "562-929-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503802",
            "telephone_number": "562-929-9999",
            "fax_number": "562-929-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ GUZMAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-929-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50344",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A50344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503444",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.