Victoria Briana Gutierrez, PA-C

Key facts

NPI

1043078629

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

Practice address

1 Haven for Hope Way Ste 300
San Antonio, TX 78207-1268

Phone

(210) 922-7000

Fax

(210) 924-1374

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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

• El Centro del Barrio, Inc. Federally Qualified Health Center (FQHC) · San Antonio, TX · NPI 1538264429
  Medicare reassignment TX
• El Centro del Barrio Federally Qualified Health Center (FQHC) · San Antonio, TX · NPI 1316126675
  NPD
• El Centro del Barrio, Inc Federally Qualified Health Center (FQHC) · San Antonio, TX · NPI 1841433562
  NPD (past)
• El Centro del Barrio, Inc. Federally Qualified Health Center (FQHC) · San Antonio, TX · NPI 1154495182
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victoria.gutierrez.p1@direct.centromed.nextgenshare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2024.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1043078629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071268",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "VICTORIA",
        "middle_name": "BRIANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

• Sonya Gutierrez
• Stacy Gutierrez
• Susan Camille Gutierrez, MSN, APRN, FNP-C
• Teresa Gutierrez
• Vanessa Gutierrez
• Dennis Raymond Gutzman, MD
• Suvarna Lakshmi Guvvala, MD
• Chelsey Lynn Guy, RDH
• William Cortland Guy, PH.D.
• Jordan Mychael Guyton

All providers in San Antonio, TX · Physician Assistant in Texas