OrganizationActive
Medicus Provider Services Inc
NPI 1497401426 · Gerontology Nurse Practitioner · Santa Clarita, CA
Provider details
- NPI number
- 1497401426
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Victor De Guzman, President(818) 212-9260
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29490 Kristine Ct
Santa Clarita, CA 91387-1404
Phone: (818) 212-9260
Street-level locationGet directions
Mailing address
24808 Sand Wedge Ln
Valencia, CA 91355-2315
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.