Marc Gutin M D Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G48699 Issued in CA

Legal business name

MARC GUTIN M D INC

Practice address

615 E Foothill Blvd Ste C
San Dimas, CA 91773-1255

Phone

(626) 335-8094

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marc S Gutin, M.D.NPI 1861423709

Title

President

Phone

(626) 335-8094

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Gutin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Dimas, CA
  • NPI 1861423709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1043362544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E FOOTHILL BLVD STE C",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731255",
            "telephone_number": "626-335-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E FOOTHILL BLVD STE C",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731255",
            "telephone_number": "626-335-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GUTIN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GUTIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-335-8094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G48699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Mance
• Samantha Jean Manning
• Karen Renee Manson, NP
• Jia Mao, MD
• Maralit Residential Villa Inc.
• Natalie Marin
• Mario Aleman DDS Dental Corp
• Frank Mariscal
• Mark Daniel Lin MD., Inc
• Chantal Markarian, MD

• Endocrinology, Diabetes & Metabolism Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.