WILFREDO V DEGUZMAN (NPI# 1023442415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023442415 |
| Entity Type | Individual |
| Full Name | WILFREDO V DEGUZMAN |
| Practice Address |
320 Hawthorne St Monterey CA 93940-1808 |
| Mailing Address |
399 Drake Ave Monterey CA 93940-7504 |
| Practice Telephone | 8316558800 |
| Mailing Telephone | 8316439069 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 41BW | 01 |
| CA | MEDI-CAL | PRVNBR | 01 |
| CA | MEDI-CAL | 27BW8 | 01 |
| CA | DRIVER'S LICENSE | A2510233 | 01 |
| CA | MEDI-CAL | BWASOCFSP | 01 |
| Street Address |
320 HAWTHORNE ST |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194942318 | Lynsey Rene Ferreira | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2007-04-19 |
| 1528494986 | Patricia Riek Mock | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2013-09-17 |
| 1396177366 | Mariana Oviedo | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2013-08-01 |
| 1821430315 | Alexandra Catherine Marie Fiola | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2013-07-24 |
| 1578814323 | Rachel Magill | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-09-19 |
| 1073868535 | Jeanette Hernandez | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-07-19 |
| 1861753063 | Kayla Josefina Espinoza | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-06-04 |
| 1740548817 | Laura Ruiz | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-04-26 |
| 1437417706 | Olivia Ramirez | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-04-24 |
| 1295092492 | Marisa Nicole Rojas | Counselor | 320 Hawthorne St, Monterey, CA 93940-1808 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147409 | Andrea Moore | Counselor | 428 Dela Vina Ave Apt 212, Monterey, CA 93940-3933 | 2020-06-02 |
| 1588132138 | Shannon Thompson | Counselor | 80 Garden Ct Ste 260, Monterey, CA 93940-5340 | 2018-11-12 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1508311713 | Nitya Rajpal | Counselor | 244 Van Buren St Apt B, Monterey, CA 93940-2390 | 2016-08-17 |
| 1316302193 | Ahsan Gill | Counselor | 399 Drake St, Monterey, CA 93940-1808 | 2015-12-22 |
| 1518354596 | Alissandra Rodriguez | Counselor | 659 Abrego St Ste 6, Monterey, CA 93940-3238 | 2015-04-17 |
| 1679827000 | Leane Elaine Genstler | Counselor | 444 Pearl Street, C2, Monterey, CA 93940 | 2012-11-07 |
| 1679838866 | Liana S Shapiro-lee | Counselor | 191 Lighthouse Ave Ste A5, Monterey, CA 93940 | 2012-07-12 |
| 1417103250 | Carolyn Margaret Kelleher | Counselor | 546 Hartnell St, Suite 2 C, Monterey, CA 93940-2817 | 2008-08-12 |
| Find all providers in MONTEREY | ||||
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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.