Active NPI
John Guzman, PHD.
- Clinical Psychologist
- South San Francisco, CA
National Provider Identifier
1992858864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11439
- Practice address
- 1200 El Camino Real
South San Francisco, CA 94080-3208 - Phone
- (650) 742-2351
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11439 | CA | Primary |
Addresses
Primary practice location
1200 El Camino Real
South San Francisco, CA 94080-3208
Mailing address
556-31St Ave.
San Mateo, CA 94403
Phone (650) 571-1280
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11439 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY11439 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992858864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556-31ST AVE.",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-571-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EL CAMINO REAL",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803208",
"telephone_number": "650-742-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
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.