MR. MICHAEL GAVIN DEGUZMAN PA-C
NPI 1235202144
Physician Assistant - Medical in Moreno Valley, CA

Q: What is Michael Deguzman's NPI number?

The NPI number for Michael Deguzman is 1235202144. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Michael Deguzman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Deguzman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2006PECOS Enrolled

12712 HEACOCK ST STE 3, MORENO VALLEY, CA 92553(951) 601-6802(951) 601-9263 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Gavin Deguzman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL GAVIN DEGUZMAN PA-C (NPI 1235202144) is an individual medical provider in Moreno Valley, California, licensed in California (PA 14892) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235202144

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL GAVIN DEGUZMANCredential: PA-C

Location Address12712 HEACOCK ST STE 3Moreno Valley, CA 92553-3037

Mailing AddressPo Box 4434Rancho Cucamonga, CA 91729-4434 · (909) 466-5266

Phone(951) 601-6802

Fax(951) 601-9263

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235202144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA 14892

12712 HEACOCK ST STE 3, Moreno Valley, CA 92553

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Gavin Deguzman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476846494

PECOS Enrollment IDI20160727002424

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Marriage & Family Therapist