Individual provider Active NPI

Eduardo J Guzman, MD

  • Obstetrics & Gynecology Physician
  • Norwalk, CA
National Provider Identifier
1982610887
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A50344 Issued in CA
Practice address
11514 Rosecrans Ave
Norwalk, CA 90650-3802
Phone
(562) 929-9999
Fax
(562) 929-0891
NPI assigned
Jul 31, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A50344 CA Primary

Addresses

Primary practice location

11514 Rosecrans Ave
Norwalk, CA 90650-3802

Mailing address

11514 Rosecrans Ave
Norwalk, CA 90650-3802
Phone (562) 929-9999

Other identifiers 5

IdentifierTypeStateIssuer
00A503441MedicaidCA
A050344BOtherCAMEDICARE PTAN
00A503444MedicaidCA
954622498OtherCACOMMERCIAL PLANS
WA502441OtherCAMEDICARE PTAN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000730 CA Practitioner - Obstetrics/Gynecology 7214986124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50344CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ej Guzman, MD Inc Obstetrics & Gynecology CurrentSince Mar 9, 1997 Accepting new patients
Laguna Beach Community Clinic, Inc. Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

11411 Brookshire Ave
#202
Downey, CA 90241
Phone (562) 861-6300

11411 Brookshire Ave
Ste 401
Downey, CA 90241
Phone (562) 861-6300

433 N 4th St
Ste 211
Montebello, CA 90640
Phone (323) 786-8333

11514 Rosecrans Ave
Norwalk, CA 90650
Phone (562) 929-9999

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1982610887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503802",
            "telephone_number": "562-929-9999",
            "fax_number": "562-929-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503802",
            "telephone_number": "562-929-9999",
            "fax_number": "562-929-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "EDUARDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503441",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A050344B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503444",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL PLANS",
            "identifier": "954622498",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA502441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.