Active NPI
Cesar Ventinilla Deguzman, MD
- Surgery Physician
- Madison Heights, VA
National Provider Identifier
1982611554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101027336
- Practice address
- 521 Colony Rd
Madison Heights, VA 24572-2105 - Phone
- (434) 947-6320
- Fax
- (434) 947-2906
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101027336 | VA | Primary |
Addresses
Primary practice location
521 Colony Rd
Madison Heights, VA 24572-2105
Mailing address
159 New Shannon Rd
Madison Heights, VA 24572-4536
Phone (434) 929-2625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101027336 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Training Center | Past | Accepting new patients | |
| Blue Ridge Scientific Transport LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- Madison Heights, VA
- NPI 1124173182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982611554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 NEW SHANNON RD",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245724536",
"telephone_number": "434-929-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 COLONY RD",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245722105",
"telephone_number": "434-947-6320",
"fax_number": "434-947-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "CESAR",
"middle_name": "VENTINILLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101027336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.