| Darrell Vincecruz Deguzman, PMHNP, FNP | |
|
1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910 | |
| (619) 498-5454 | |
| (619) 528-4625 |
| Full Name | Darrell Vincecruz Deguzman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1061 Tierra Del Rey Ste 200, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245709112 | NPI | - | NPPES |
| W416 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95008025 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95008025 (California) | Primary |
| Entity Name | Psychiatric Centers At San Diego, Inc. Med Grp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841241585 PECOS PAC ID: 0143201087 Enrollment ID: O20040526001651 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Harbor Psychiatry & Mental Health Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062 |
| Mailing Address | Practice Location Address |
|---|---|
| Darrell Vincecruz Deguzman, PMHNP, FNP Po Box 609001, San Diego, CA 92160-9001 Ph: (619) 528-4600 | Darrell Vincecruz Deguzman, PMHNP, FNP 1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910 Ph: (619) 498-5454 |
Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946 | |
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325 | |
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701 | |
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156 | |
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660 | |
Charles Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 760-201-6752 |