Individual provider Active NPI

Mayra Lizbeth Gutierrez Torres

  • Speech-Language Assistant
  • Covina, CA
National Provider Identifier
1043179054
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
8794 Issued in CA
Practice address
943 N Grand Ave
Covina, CA 91724-2046
Phone
(562) 693-5449
NPI assigned
Jan 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 8794 CA Primary

Addresses

Primary practice location

943 N Grand Ave
Covina, CA 91724-2046

Mailing address

12411 Slauson Ave Ste G
Whittier, CA 90606-2835
Phone (562) 693-5449

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

LicenseStateTypeSpecialty
8794CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Therapy Group Inc. PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1043179054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 SLAUSON AVE STE G",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062835",
            "telephone_number": "562-693-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242046",
            "telephone_number": "562-693-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ TORRES",
        "first_name": "MAYRA",
        "middle_name": "LIZBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "8794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.