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MR. VICTOR LAO DE GUZMAN JR. AGACNP-BC, ACNPC-AG
NPI 1497234884
Nurse Practitioner - Gerontology in Tacoma, WA

Active since August 07, 2018PECOS Enrolled
1717 S J ST, TACOMA, WA 98405(253) 426-6341(253) 761-1040 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 2, 2020, Oct 23, 2019, Aug 7, 2018 (3 updates tracked since 2018).

About Mr. Victor Lao De Guzman Jr. Agacnp-bc, Acnpc-ag NPPES

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

MR. VICTOR LAO DE GUZMAN JR. AGACNP-BC, ACNPC-AG (NPI 1497234884) is an individual gerontology provider in Tacoma, Washington, licensed in Washington (AP60951857) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497234884
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. VICTOR LAO DE GUZMAN JR.Credential: AGACNP-BC, ACNPC-AG
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address1717 S J StTacoma, WA 98405-4933 · (253) 426-6341 · Fax (253) 761-1040
Phone(253) 426-6341
Fax(253) 761-1040
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateDecember 2, 20203 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1497234884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WA · AP60951857
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60951857 (WA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP138293 (TX)
1717 S J ST, Tacoma, WA 98405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15501 S Expressway 77Harlingen, TX 78550-3213 · Phone (956) 365-1000
Location 21455 Battersby AveEnumclaw, WA 98022 · Phone (253) 426-6341 · Fax (253) 426-6344

Other Identifiers 1

Medicaid2138777WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Victor Lao De Guzman Jr. Agacnp-bc, Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELIZABETH CULP
Registered Nurse
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6163
GLAUCIA DE CASTRO MOREIRA M.D.
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6625
GRANT ALEXANDER YELLIOTT II PA C
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6660
MS. JESSICA WAI-YING TAM MD
Internal Medicine
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341
KARA SPRINGER CRANE PHARMD
Pharmacist
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 432-8216
BROOKE ELIZABETH CLOVER-OWENS RN
Registered Nurse (Obstetric, Inpatient)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
NATHANIEL ERIC SIEV MD
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
PRISCILLA RUTH JAMES AGACNP-BC
Nurse Practitioner (Gerontology)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor De Guzman's NPI number?

The NPI number for Victor De Guzman is 1497234884. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Victor De Guzman located?

Victor De Guzman practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (253) 426-6341.

What is Victor De Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Victor De Guzman enrolled in Medicare?

Yes. Victor De Guzman is registered in the Medicare PECOS enrollment system.

What insurance does Victor De Guzman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Victor De Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victor De Guzman was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.