Active NPI
Edwin Deguzman, PHARMD.
- Pharmacist
- San Diego, CA
National Provider Identifier
1922422039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67773
- Practice address
- 748 C St
San Diego, CA 92101-5308 - Phone
- (619) 878-6188
- NPI assigned
- Feb 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67773 | CA | Primary |
Addresses
Primary practice location
748 C St
San Diego, CA 92101-5308
Mailing address
2127 Olympic Pkwy
Suite 1006; #144
Chula Vista, CA 91915-1359
Phone (303) 667-2126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67773 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1922422039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 OLYMPIC PKWY",
"address_2": "SUITE 1006; #144",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151359",
"telephone_number": "303-667-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 C ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015308",
"telephone_number": "619-878-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "EDWIN",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.