DR. EDDIE GUZMAN (AUD) – Audiologist, NPI 1316662091

DR. EDDIE GUZMAN (AUD) is a healthcare provider. based in Fullerton, California. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 3743 (CA). The NPI Number for DR. EDDIE GUZMAN (AUD) is 1316662091

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDDIE GUZMAN (AUD)
NPI
1316662091
Phone
(714) 681-6808
Address
629 W ELM AVE
Enumeration Date
5 October 2022
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6264852634
Graduation Year
2022 (4 years ago)
PAC ID
4981063450
Group Practice PAC ID
2163881632
Professional Enrollment ID
I20230703000927
Address ID
CA917902718WE1700XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

600 QUALIFIED AUDIOLOGIST in CA

Provider Addresses for DR. EDDIE GUZMAN (AUD)

  • 629 W ELM AVE

    FULLERTON, CA 928322707

    Phone: (714) 681-6808

    Type: Mailing

  • 11360 183RD ST

    CERRITOS, CA 907035419

    Phone: (562) 809-2167

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-07-03

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
I20230703000927IQualified AudiologistCATBD

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 92832)

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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: 2163881632View full group profile
NameSpecialtyState
Qualified AudiologistCA

Reviews

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Frequently asked questions

What is DR. EDDIE GUZMAN (AUD)'s NPI number?
DR. EDDIE GUZMAN (AUD)'s NPI is 1316662091 — the number used across U.S. healthcare to identify this provider.
Would DR. EDDIE GUZMAN (AUD) appear as active to a payer?
You can treat DR. EDDIE GUZMAN (AUD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. EDDIE GUZMAN (AUD)?
DR. EDDIE GUZMAN (AUD) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EDDIE GUZMAN (AUD)?
Directory geography for DR. EDDIE GUZMAN (AUD) centers on Fullerton, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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