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JENNIFER O TY-DE GUZMAN MSN, FNP,DNP,PMHNP
NPI 1790304194
Registered Nurse - Home Health in Paramount, CA

Active since April 15, 2020PECOS Enrolled
14023 PARAMOUNT BLVD, PARAMOUNT, CA 90723(562) 988-3370(562) 988-3373 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer O Ty-de Guzman Msn, Fnp,dnp,pmhnp NPPES

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

JENNIFER O TY-DE GUZMAN MSN, FNP,DNP,PMHNP (NPI 1790304194) is an individual home health provider in Paramount, California, licensed in California (508898) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790304194
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameJENNIFER O TY-DE GUZMANCredential: MSN, FNP,DNP,PMHNP
Location Address14023 PARAMOUNT BLVDParamount, CA 90723-2605
Mailing Address14023 Paramount BlvdParamount, CA 90723-2605 · (562) 988-3370 · Fax (562) 988-3373
Phone(562) 988-3370
Fax(562) 988-3373
Sole ProprietorYes
Enumeration DateApril 15, 2020
NPPES CertifiedApril 15, 2020
✔ NPI 1790304194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in CA · 508898
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 12561 (CA)
14023 PARAMOUNT BLVD, Paramount, CA 90723
Open in Google Maps ↗

Other Identifiers 1

MedicaidHHA08212FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer O Ty-de Guzman Msn, Fnp,dnp,pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Ty-de Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excell Integrated Medical Group Inc
Same address
Family Medicine
14023 PARAMOUNT BLVD
Paramount, CA 90723
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1659909521 (562) 286-6815

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

THUYLIEN CHAU FNP
Nurse Practitioner
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 286-6815
DANIEL KWON DO INC
Family Medicine (Geriatric Medicine)
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (323) 961-0586
EXCELL DRIP BAR INC
Clinic/Center (Infusion Therapy)
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 988-3370
KENDRA RICKARD FNP-BC
Nurse Practitioner (Family)
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 988-3370
ERVIN DE GUZMAN FNP
Nurse Practitioner (Family)
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 787-1027
DANIEL KWON DO
Family Medicine (Geriatric Medicine)
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 286-6815
EXCELL INTEGRATED MEDICAL GROUP INC
Family Medicine
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 286-6815
DR. KRISTOFFER TOLENTINO CHIN DO
Family Medicine
14023 PARAMOUNT BLVD
PARAMOUNT, CA 90723
Los Angeles County (562) 286-6815

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 Jennifer Ty-de Guzman's NPI number?

The NPI number for Jennifer Ty-de Guzman is 1790304194. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Jennifer Ty-de Guzman located?

Jennifer Ty-de Guzman practices at 14023 Paramount Blvd, Paramount, CA 90723. The listed phone number is (562) 988-3370.

What is Jennifer Ty-de Guzman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Is Jennifer Ty-de Guzman enrolled in Medicare?

Yes. Jennifer Ty-de Guzman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Ty-de Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ty-de Guzman reassigns Medicare benefits to Excell Integrated Medical Group Inc (Paramount, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Ty-de Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Ty-de Guzman was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.