Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Gavin Deguzman, PA-C

Individual provider Medical Physician Assistant · NPI 1235202144

Mr. Michael Gavin Deguzman, PA-C is a Physician Assistant in Moreno Valley, California. Qualified in 1998, 28 years ago. Practices with Comprehensive Primary Care Medical Associates, Inc, a 4-clinician group. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12712 Heacock St Ste 3
Moreno Valley, CA 92553-3037
Phone: (951) 601-6802
Fax: (951) 601-9263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 14892 (CA)

Record details

NPI number1235202144
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Comprehensive Primary Care Medical Associates, Inc — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Moreno Valley