Individual provider Active NPI

Jonathan Michael Deguzman

  • Foot & Ankle Surgery Podiatrist
  • Stockton, CA
National Provider Identifier
1962820597
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5335 Issued in CA
Practice address
3031 W March LN Ste 310
Stockton, CA 95219-6562
Phone
(209) 472-0800
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5335 CA Primary

Addresses

Primary practice location

3031 W March LN Ste 310
Stockton, CA 95219-6562

Mailing address

3031 W March LN Ste 310
Stockton, CA 95219-6562
Phone (209) 472-0800

Other practice location 1

3801 Miranda Ave
Pod112
Palo Alto, CA 94304-1207
Phone (650) 493-5000 ext. 67524

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601002012 CA Practitioner - Podiatry 4688941222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

3031 W March LN
Suite 310
Stockton, CA 95219-6562
Phone (209) 472-0800

7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue310
Removal of nail tissue383
Removal or shaving of skin growth220
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5335CAMDCounselor
E5335CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 10, 2018 Accepting new patients

Locations

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

4722 Quail Lakes Dr
Ste A
Stockton, CA 95207
Phone (209) 476-0675

3031 W March Ln
Ste 310E
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jonathan.deguzman.1@20181.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962820597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN STE 310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196562",
            "telephone_number": "209-472-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN STE 310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196562",
            "telephone_number": "209-472-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Miranda Ave",
            "address_2": "POD112",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "650-493-5000 x67524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.