MR. GLENN MICHAEL DE GUZMAN (NPI# 1265448294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265448294 |
Entity Type | Individual |
Full Name | MR. GLENN MICHAEL DE GUZMAN |
Credential | P.A. |
Practice Address |
13330 Bloomfield Ave Ste 111 Norwalk CA 90650-3264 |
Mailing Address |
19416 Cheyenne Wells Cir Walnut CA 91789-4371 |
Practice Telephone | 5628680733 |
Mailing Telephone | 5628680733 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA18213 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508234733 | Glenn De Guzman | Clinical Exercise Physiologist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2015-09-03 |
Street Address |
13330 BLOOMFIELD AVE STE 111 |
City | NORWALK |
State | CA |
Zip Code | 90650-3264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
Find all providers in zip 90650 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
1235752049 | Amanda Nicole Conti | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-05-27 |
Find all providers in NORWALK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.