Individual provider Active NPI

Jimena Gutierrez Rivera, MD

  • Pediatrics Physician
  • Tulare, CA
National Provider Identifier
1053110049
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P210001 Issued in CA
Practice address
1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone
(559) 686-9097
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P210001 CA Primary

Addresses

Primary practice location

1134 E Cartmill Ave
Tulare, CA 93274-9610

Mailing address

1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone (559) 686-9097

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508000590 CA Practitioner - Pediatric Medicine 2062939556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P210001CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Apr 18, 2025 Accepting new patients

Locations

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

3035 E Bardsley Ave
Tulare, CA 93274
Phone (559) 685-4601

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

Interoperability endpoints

  • Direct secure messaging: jimena.gutierrezrivera.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1053110049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E CARTMILL AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749610",
            "telephone_number": "559-686-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 E CARTMILL AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749610",
            "telephone_number": "559-686-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ RIVERA",
        "first_name": "JIMENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "P210001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.