Nicole De la Rosa Guzman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

Y3660576 Issued in CA

Practice address

290 Ioof Ave
Gilroy, CA 95020-5204

Phone

(408) 846-2100

Fax

(408) 842-8815

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1972172948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CAROLINE LN",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205261",
            "telephone_number": "408-710-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205204",
            "telephone_number": "408-846-2100",
            "fax_number": "408-842-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA GUZMAN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "Y3660576",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y3660576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Jade De Jong
• Freshia Osiris De la Cruz Chavarin, BA
• Aldo De la Cruz, ASW
• Celina De la Cruz
• Norma A De la O
• Adan De Lira
• Edward De Luna
• Roxanne Figueroa De Witt
• A Dean, MA
• Maria Christina Debartolo, MA, CCC-SLP

• Case Manager/Care Coordinator in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.