Active NPI
Michael Gutierrez
- Taxi
- Ukiah, CA
National Provider Identifier
1003464546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- A5435510
- Practice address
- 342 Wabash Ave
Ukiah, CA 95482-6316 - Phone
- (707) 272-3901
- NPI assigned
- Aug 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | A5435510 | CA | Primary |
Addresses
Primary practice location
342 Wabash Ave
Ukiah, CA 95482-6316
Mailing address
342 Wabash Ave
Ukiah, CA 95482-6316
Phone (707) 272-3901
Other practice location 1
95 N Main St
Willits, CA 95490
Phone (707) 272-3901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5435510 | CA | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1003464546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 WABASH AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826316",
"telephone_number": "707-272-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 WABASH AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826316",
"telephone_number": "707-272-3901"
}
],
"practiceLocations": [
{
"address_1": "95 N Main St",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "95490",
"country_code": "US",
"telephone_number": "707-272-3901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "CA",
"license": "A5435510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.