MR. MICHAEL GAVIN DEGUZMAN (PA-C) – Medical Physician Assistant, NPI 1235202144

MR. MICHAEL GAVIN DEGUZMAN (PA-C) is a healthcare provider. based in Rancho cucamonga, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 14892 (CA). The NPI Number for MR. MICHAEL GAVIN DEGUZMAN (PA-C) is 1235202144

Main info

Male
28 Years Of Experience
Name
MR. MICHAEL GAVIN DEGUZMAN (PA-C)
NPI
1235202144
Phone
(909) 466-5266
Address
PO BOX 4434
Enumeration Date
16 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
3476846494
Group Practice PAC ID
5092780833
Professional Enrollment ID
I20160727002424
Address ID
CA923364014Fo7774XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. MICHAEL GAVIN DEGUZMAN (PA-C)

  • PO BOX 4434

    RANCHO CUCAMONGA, CA 917294434

    Phone: (909) 466-5266

    Type: Mailing

  • Heacock Street, Moreno Valley, Riverside County, California, 92551, United States

    MORENO VALLEY, CA 925533037

    Phone: (951) 601-6802

    Fax: (951) 601-9263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Amgen Inc. ($111).

Total Amount

$341

General + Research + Ownership

Payments

17

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160727002424IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91729)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092780833View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineCA
General PracticeCA
-CA
Physical Therapist In Private PracticeCA
Internal Medicine, Family PracticeCA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. MICHAEL GAVIN DEGUZMAN (PA-C)'s NPI?
Yes. MR. MICHAEL GAVIN DEGUZMAN (PA-C) is listed with NPI 1235202144 in the public NPI dataset.
Can I rely on MR. MICHAEL GAVIN DEGUZMAN (PA-C) being an active provider?
As of the registry snapshot, MR. MICHAEL GAVIN DEGUZMAN (PA-C) is marked active.
What is MR. MICHAEL GAVIN DEGUZMAN (PA-C)'s specialty?
The listing groups MR. MICHAEL GAVIN DEGUZMAN (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL GAVIN DEGUZMAN (PA-C)?
MR. MICHAEL GAVIN DEGUZMAN (PA-C)'s geographic hint is Rancho Cucamonga, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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