MEDICARE: MARIA JANET GUZMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	172V00000X	Community Health Worker
2	373H00000X	Day Training/Habilitation Specialist	CA
3	101Y00000X	Counselor
4	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1336577840	OTHER	CA	BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1174746036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA JANET GUZMAN

Provider Business Mailing Address
First Line	:	3855 N WEST AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-2759
Country	:	US
Telephone Number	:	559-334-6433
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 N WEST AVE STE 103-110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-2759
Country	:	US
Telephone Number	:	559-334-6433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	04/27/2026

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