Active NPI
Adriana Gutierrez Pelayo, SUDRC
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1023647054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17604
- Practice address
- 2550 W Clinton Ave # Rsydp
Fresno, CA 93705-4206 - Phone
- (559) 248-1548
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17604 | CA | Primary |
Addresses
Primary practice location
2550 W Clinton Ave # Rsydp
Fresno, CA 93705-4206
Mailing address
2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Phone (559) 213-3545
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 |
|---|---|---|---|
| 17604 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1023647054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE UNIT 311",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054218",
"telephone_number": "559-213-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE # RSYDP",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054206",
"telephone_number": "559-248-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ PELAYO",
"first_name": "ADRIANA",
"credential": "SUDRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "17604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.