Individual provider Active NPI

Wilfredo Ryan Guzon

  • Professional Counselor
  • Newport Beach, CA
National Provider Identifier
1932873726
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APCC8549
Practice address
20101 SW Birch St Ste 240
Newport Beach, CA 92660-1769
Phone
(949) 409-5583
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC8549 Primary

Addresses

Primary practice location

20101 SW Birch St Ste 240
Newport Beach, CA 92660-1769

Mailing address

20101 SW Birch St Ste 240
Newport Beach, CA 92660-1769
Phone (949) 409-5583

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Website

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819004259 CA Practitioner - Mental Health Counselor 4880132067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16816CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jun 7, 2024 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1932873726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601769",
            "telephone_number": "949-409-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601769",
            "telephone_number": "949-409-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZON",
        "first_name": "WILFREDO RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "APCC8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Website",
            "affiliation": "N",
            "address_1": "20101 SW Birch St Ste 240",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926601769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.