Edwin Jonathan Guzman , PA-C
Physician Assistant โข Visalia, CA
305 E Center Ave
Visalia, CA 932916331
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on December 10, 2020; this date does not establish years in practice.
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Published CMS data list 3,662 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 โ Destruction of precancer skin growth, 2-14 growths: 1,187 service units.
- 99213 โ Established patient outpatient office visit: 685 service units.
- 17110 โ Destruction of skin growth, 1-14 growths: 358 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 24 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 615 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ketoconazole โ 69 prescription fills, including refills.
- Fluocinonide โ 56 prescription fills, including refills.
- Betamethasone Dipropionate โ 49 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 22 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Visalia, CA (2024, 40 clinicians with data). Median for this group: 239. Middle half: 108 to 942.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 355 in 2021 to 615 in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021โ2024.
Practice Location & Contact Primary Location
305 E Center Ave
Visalia, CA 932916331
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: La Laser Center Pc A Professional Medical Corporation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2020
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
357 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $199,623 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $152,738 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
667 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$113,591 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,456.24 across 113 records.
By nature of payment
- Food and Beverage: $2,344.07 across 111 records.
- Education: $112.17 across 2 records.
Reporting-company totals (3 largest of 12)
- Janssen Pharmaceuticals, Inc: $485.38 across 17 records.
- Incyte Corporation: $472.19 across 20 records.
- Arcutis Biotherapeutics, Inc.: $460.45 across 40 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Edwin Guzman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Edwin Guzman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Visalia and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Visalia, CA (2024, 40 clinicians with data). Median for this group: 239. Middle half: 108 to 942.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Visalia, CA (2024, 40 clinicians with data). Median for this group: $23,525. Middle half: $9,964 to $72,058.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Visalia, CA (2024, 40 clinicians with data). Median for this group: $18,223. Middle half: $7,743 to $51,912.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Visalia, CA (2024, 73 clinicians with data). Median for this group: 271. Middle half: 61 to 1,073.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Visalia, CA (2024, 73 clinicians with data). Median for this group: $7,245. Middle half: $337 to $81,078.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
108 active clinicians are listed under Physician Assistant with a practice address in Visalia, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Visalia
10.2% of these 108 clinicians have the CMS telehealth indicator.
34.3% of these 108 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 73% from 355 in 2021 to 615 in 2024.
- 2021: 355
- 2022: 1,090
- 2023: 1,696
- 2024: 615
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30-day fills
30-day fills increased 12% from 597 in 2021 to 667 in 2024.
- 2021: 597
- 2022: 2,175
- 2023: 3,212
- 2024: 667
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Part D drug cost
Part D drug cost increased 270% from $30,732 in 2021 to $113,591 in 2024.
- 2021: $30,732
- 2022: $128,257
- 2023: $309,854
- 2024: $113,591
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $38.74 in 2022 to $2,456.24 in 2025.
- 2022: $38.74
- 2023: $60.02
- 2024: $1,524.60
- 2025: $2,456.24
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 113 records totaling $2,456.24.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
Opzelura | General | $132.83 |
| Organon LLC |
Food and Beverage
In-kind items and services
|
VTAMA | General | $122.98 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $122.98 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $118.00 |
| Arcutis Biotherapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Zoryve | General | $117.99 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $110.67 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
Opzelura | General | $107.13 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $104.88 |
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
|
TREMFYA | General | $99.00 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $40.43 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $34.94 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Bimzelx | General | $34.76 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $33.82 |
| Organon LLC |
Food and Beverage
In-kind items and services
|
VTAMA | General | $32.71 |
| Organon LLC |
Food and Beverage
In-kind items and services
|
โ | General | $31.85 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $31.36 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $28.89 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.42 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $26.94 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.69 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $25.86 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $25.22 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $25.14 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $25.02 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $23.71 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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1,187 | 124 | $20.58 | $5.96 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
685 | 268 | $267.64 | $78.28 |
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17110
Destruction of skin growth, 1-14 growths
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358 | 187 | $351.47 | $95.13 |
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17000
Destruction of precancer skin growth, 1 growth
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298 | 146 | $203.34 | $38.75 |
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11102
Biopsy of related skin growth, first growth
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204 | 158 | $303.16 | $65.51 |
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11103
Biopsy of related skin growth, each additional growth
|
183 | 94 | $153.48 | $44.49 |
|
77427
Radiation treatment management, 5 treatment sessions
|
137 | 58 | $483.85 | $161.97 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
122 | 122 | $320.41 | $96.12 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
98 | 74 | $162.14 | $49.24 |
|
11300
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
|
56 | 42 | $298.72 | $55.25 |
|
11301
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
|
48 | 36 | $361.81 | $84.23 |
|
17111
Destruction of skin growth, 15 or more growths
|
45 | 30 | $412.90 | $116.91 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
43 | 35 | $385.74 | $110.90 |
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11104
Punch biopsy, first skin growth
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26 | 26 | $368.38 | $110.86 |
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11305
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
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22 | 18 | $317.45 | $57.24 |
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11310
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
|
22 | 18 | $343.05 | $79.38 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
|
21 | 21 | $194.57 | $62.96 |
|
11105
Punch biopsy, each additional skin growth
|
18 | 18 | $177.19 | $52.38 |
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17004
Destruction of precancer skin growth, 15 or more growths
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18 | 13 | $515.23 | $148.13 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
17 | 13 | $4.96 | $0.95 |
|
11900
Injection into skin growth, 1-7 growths
|
16 | 13 | $169.68 | $44.04 |
|
11306
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
|
14 | 14 | $366.14 | $101.04 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $475.06 | $143.49 |
|
11311
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
|
11 | 11 | $403.30 | $98.89 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 69 | 2,055 | $1,058.73 | 33 |
| Fluocinonide | Fluocinonide | 56 | 1,662 | $2,913.40 | 39 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 49 | 1,369 | $2,116.76 | 27 |
| Tacrolimus | Tacrolimus | 40 | 1,224 | $5,211.36 | 17 |
| Clindamycin Phosphate | Clindamycin Phosphate | 39 | 1,143 | $1,088.81 | 18 |
| Metronidazole | Metronidazole | 36 | 1,094 | $1,848.55 | 15 |
| Hydrocortisone | Hydrocortisone | 35 | 938 | $541.47 | 26 |
| Doxycycline Hyclate | Doxycycline Hyclate | 33 | 992 | $689.64 | 15 |
| Clobetasol Propionate | Clobetasol Propionate | 29 | 792 | $1,283.38 | 18 |
| Ammonium Lactate | Ammonium Lactate | 29 | 870 | $587.52 | 17 |
| Opzelura | Ruxolitinib Phosphate | 26 | 854 | $48,917.03 | 12 |
| Zoryve | Roflumilast | 23 | 675 | $19,021.45 | โ |
| Gentamicin Sulfate | Gentamicin Sulfate | 20 | 463 | $929.14 | 16 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 19 | 492 | $81.77 | โ |
| Pimecrolimus | Pimecrolimus | 18 | 630 | $4,103.84 | 11 |
| Ciclopirox | Ciclopirox | 16 | 404 | $600.05 | โ |
| Calcipotriene | Calcipotriene | 15 | 520 | $3,332.02 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 14 | 990 | $219.67 | 12 |
| Amlodipine Besylate | Amlodipine Besylate | 13 | 860 | $39.25 | โ |
| Vtama | Tapinarof | 13 | 360 | $18,905.73 | โ |
| Mupirocin | Mupirocin | 12 | 213 | $59.68 | โ |
| Cephalexin | Cephalexin | 11 | 57 | $41.76 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-02-24NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20211004001203
CA
4880092964
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
La Laser Center Pc A Professional Medical Corporation
400 N Irwin St, Hanford, CA 932304426
Phone: 5595842700
La Laser Center Pc A Professional Medical Corporation
621 W Line St, Bishop, CA 935143320
Phone: 7608738781
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner
NURSEPRACTITIONER
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 305 E CENTER AVE, VISALIA, CA 932916331 (Tel: 5597374700)
Registered at 305 E CENTER AVE, VISALIA, CA 932916331 (Tel: 5597374700)
NPI status registered as active in NPPES database
Registered at 18219 ROAD 232, PORTERVILLE, CA 932579397 (Tel: 5595713682)
Registered at 18219 ROAD 232, PORTERVILLE, CA 932579397 (Tel: 5595713682)
Recorded as EDWIN GUZMAN, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Visalia
- Briana Tan, PA-C
- Samantha Segur
- Reygil Trinidad, PA-C
- Teyonka Wilson, PA-C
- Ashley Parish, PA-C
- Phillip Myers, PA-C
Mailing Address
305 E Center Ave
Visalia, CA 932916331
Phone: 5597374700