Anne Grace Bofill Guzman, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22099 Issued in CA

Practice address

12952 Andy Dr
Cerritos, CA 90703-6066

Phone

(209) 556-3657

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

No

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Tiamson IncGroup PAC ID 5193197168, 2 clinicians

Advanced Practice Wound Care and Psyche SpecialistGroup PAC ID 1456883719, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Advanced Practice Wound Care and Psyche Specialist

  • Wound Care Registered Nurse
  • Rancho Cucamonga, CA
  • NPI 1063260073
  Medicare reassignment Care Compare group NPD
• Advanced Practitioner Medical Group - a Professional Nursing Corp

  dba Advanced Practitioner Medical Group

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556
  Medicare reassignment Care Compare group NPD
• Tiamson Inc

  dba Shylee Skin Wellness and Family Practice

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1124745161
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1932448024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 ANDY DRIVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "209-556-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 ANDY DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036066",
            "telephone_number": "209-556-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ANNE GRACE",
        "middle_name": "BOFILL",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Gulati
• Rosemary Renee Gurrola, M.S.
• Maria Gutierrez-Lazaro
• Alejandra Guzman-Prado, MSW, ACSW
• Leticia Guzman-Soydan, MSW
• Eddie Guzman, AUD
• Karla Guzman
• H Dermatology PC
• Ha Tran Tsai Dental Corporation
• Jiyoung Ha

• Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.
• 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.