Active NPI
Jonathan Michael Deguzman
- Foot & Ankle Surgery Podiatrist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5335
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 310 |
| Removal of nail tissue | 383 |
| Removal or shaving of skin growth | 220 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5335 | CA | MD | Counselor |
| E5335 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | 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
- 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.
-
dba Bay Area Foot Care
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
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
- 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; 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.