Healthcare Provider Details

I. General information

NPI: 1043131337
Provider Name (Legal Business Name): JASMIN KAY PAGDANGANAN DE GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 THE ALAMEDA
SAN JOSE CA
95126-2203
US

IV. Provider business mailing address

1040 INDIAN WELLS AVE APT 125
SUNNYVALE CA
94085-4632
US

V. Phone/Fax

Practice location:
  • Phone: 408-795-3600
  • Fax: 408-971-6935
Mailing address:
  • Phone: 669-243-8154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95457989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: