Mary I Gutierrez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN454451 Issued in CA

Practice address

408 E 3Rd St Ste B
Calexico, CA 92231-2854

Phone

(760) 357-9962

Fax

(760) 768-1714

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.gutierrez@ecrmc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment NPD
• Clinicas de Salud del Pueblo Inc.

  dba InnerCare Pharmacy

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  dba Clinicas de Salud del Pueblo

  • Federally Qualified Health Center (FQHC)
  • Calexico, CA
  • NPI 1962599266
  NPD
• Imperial Valley Womens Clinic

  • Obstetrics & Gynecology Physician
  • El Centro, CA
  • NPI 1417060518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023191582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 3RD ST STE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312854",
            "telephone_number": "760-357-9962",
            "fax_number": "760-768-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 3RD ST STE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312854",
            "telephone_number": "760-357-9962",
            "fax_number": "760-768-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARY",
        "middle_name": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN454451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gonzalez
• Norma Groom, NP
• Yvette Guerrero, MD
• Guided Pathways Community Solutions LLC
• Deyna Vianney Gutierrez
• Binh Mai Ha, PHARM.D
• Happy Days Adult Day Health Care Center Inc
• Emily Renee Grant Heim
• Raymundo Hernandez Davila
• Katherine S Hernandez Fraga

• Nurse Practitioner in Calexico, CA
• Providers in Calexico, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.