Individual provider Active NPI

Mario Skiles Gutierrez, D.C.

  • Chiropractor
  • Belmont, CA
National Provider Identifier
1083624795
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29728 Issued in CA
Practice address
390 El Camino Real Ste I
Belmont, CA 94002-2006
Phone
(650) 591-9674
Fax
(650) 591-0250
NPI assigned
Aug 8, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29728 CA Primary

Addresses

Primary practice location

390 El Camino Real Ste I
Belmont, CA 94002-2006

Mailing address

390 El Camino Real Ste I
Belmont, CA 94002-2006
Phone (650) 279-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001303 CA Practitioner - Chiropractic 3870538523 Practice locations: San Carlos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

951 Industrial Rd
Suite B
San Carlos, CA 94070-4154

951 Industrial Rd B
San Carlos, CA 94070-4154
Phone (650) 593-4447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29728CAMDClinical Psychologist
DC29728CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lisa Pierotti Healthsource Chiropractic and Nutrition, Inc. Past Accepting new patients
Saviano Chiropractic Center, Inc. Chiropractor PastSince Feb 22, 2023 Accepting new patients
Linford Chiropractic Center Chiropractor Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1083624795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 EL CAMINO REAL STE I",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022006",
            "telephone_number": "650-279-1516",
            "fax_number": "650-279-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 EL CAMINO REAL STE I",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022006",
            "telephone_number": "650-591-9674",
            "fax_number": "650-591-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIO",
        "middle_name": "SKILES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.