Provider Demographics
NPI:1154667921
Name:GUZMAN, CHRISTINA ROXANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ROXANNE
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4420 DUCKHORN DR
Mailing Address - Street 2:STE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2590
Mailing Address - Country:US
Mailing Address - Phone:916-419-9900
Mailing Address - Fax:916-419-9699
Practice Address - Street 1:2288 AUBURN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-1618
Practice Address - Country:US
Practice Address - Phone:916-564-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22760363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical