Jonathan Deguzman
Podiatrist (foot and ankle surgery) in Stockton, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 3031 W March Ln Ste 310, Stockton, CA 95219
- Phone
- (209) 472-0800
- Listed under
- Individual podiatrists, Foot and ankle surgery (registered)
- NPI
- 1962820597
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist, Foot & Ankle Surgery (213ES0103X)
- License number on NPI record
- E5335 (CA)
- NPI first issued
- Apr 1, 2014
- Years since NPI first issued
- 12 years (since 2014)
- License state on NPI record
- CA
- NPI record last updated
- Jul 21, 2022
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2014 (12 years ago)
- Professional school (CMS)
- California School of Podiatric Medicine
- Medicare group practice (CMS)
- Permanente Medical Group INC (10,996 clinicians); Bay Area Foot Care INC (127 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other practice locations (NPPES)
- 1: Palo Alto, CA
- Other podiatry listings at this street address
- 2
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What these registry facts mean
Practices and podiatrists at this address
- Rabeea Khan, DPM
- Bay Area Foot Care, INC (practice/organization)