DR. LISANDRA PEREZ GUZMAN (M.D., MPH) – Public Health & General Preventive Medicine Physician, NPI 1063738870

DR. LISANDRA PEREZ GUZMAN (M.D., MPH) is a healthcare provider. based in Springfield, Oregon. specializing in PREVENTIVE MEDICINE. They hold the professional credentials M.D., MPH. They hold a License No. MD160519 (OR). The NPI Number for DR. LISANDRA PEREZ GUZMAN (M.D., MPH) is 1063738870

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISANDRA PEREZ GUZMAN (M.D., MPH)
NPI
1063738870
Phone
(541) 682-3550
Address
2073 OLYMPIC ST
Enumeration Date
19 April 2010
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5417474300
Graduation Year
2008 (18 years ago)
PAC ID
2567615503
Group Practice PAC ID
0042100372
Professional Enrollment ID
I20121226000434
Address ID
OR974774379SP1800XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

26 PREVENTIVE MEDICINE in OR

Provider Addresses for DR. LISANDRA PEREZ GUZMAN (M.D., MPH)

  • 2073 OLYMPIC ST

    SPRINGFIELD, OR 974773413

    Phone: (541) 682-3550

    Type: Mailing

  • 151 W 7TH AVE STE 100

    EUGENE, OR 974012676

    Phone: (541) 682-3550

    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: 2012-12-26

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
I20121226000434IPreventive MedicineORTBD

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 97477)

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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: 0042100372View full group profile
NameSpecialtyState
Physician AssistantOR
-OR
Clinical PsychologistOR
Family PracticeFL
Family PracticeOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeTX
-OR
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to DR. LISANDRA PEREZ GUZMAN (M.D., MPH)?
The federal identifier for DR. LISANDRA PEREZ GUZMAN (M.D., MPH) is NPI 1063738870.
Is DR. LISANDRA PEREZ GUZMAN (M.D., MPH) active in the national directory?
DR. LISANDRA PEREZ GUZMAN (M.D., MPH)'s public NPI profile is in an active state.
What field does DR. LISANDRA PEREZ GUZMAN (M.D., MPH) work in?
You can think of DR. LISANDRA PEREZ GUZMAN (M.D., MPH) as practicing within Public Health & General Preventive Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. LISANDRA PEREZ GUZMAN (M.D., MPH)?
The page summarizes Springfield, Oregon for DR. LISANDRA PEREZ GUZMAN (M.D., MPH); expand the address list for detail.
How can I contact DR. LISANDRA PEREZ GUZMAN (M.D., MPH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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