Diana Gutierrez

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1771 Patassi Way
Upland, CA 91784-9296

Phone

(760) 987-5688

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1093486979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 PATASSI WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849296",
            "telephone_number": "760-987-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 PATASSI WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849296",
            "telephone_number": "760-987-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Upland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1771 Patassi Way",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917849296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Upland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1771 Patassi Way",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917849296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Chooljian Gunzenhauser, MD
• Beiying Guo
• Naveen Gupta, M.D.
• Perry Thomas Guthrie, PH.D.
• Carla Mariela Gutierrez
• Jorge Andrew Gutierrez
• Leonard Gutierrez Jr.
• H & Y Elderly Care Co.
• H Street Clinic
• Norika JK Haberman, DMD

• School Psychologist in Upland, CA
• Providers in Upland, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.