NPIMap

Individual provider Active NPI

Rolando Gutierrez, M.D.

  • Family Medicine Physician
  • Menifee, CA
National Provider Identifier
1104841212
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93879 Issued in CA
Practice address
30420 Haun Rd
Menifee, CA 92584-6810
Phone
(951) 676-4193
Fax
(951) 225-6865
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93879 CA Primary

Addresses

Primary practice location

30420 Haun Rd
Menifee, CA 92584-6810

Mailing address

28780 Single Oak Dr
Ste 160
Temecula, CA 92590-5528
Phone (951) 676-4193

Other identifiers 4

IdentifierTypeStateIssuer
A93879OtherCASTATE MEDICAL LICENSE
ZZZ54049YOtherCABS/TRIWEST
1104841212MedicaidCA
1316113145MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000366 CA Practitioner - Family Practice 5092713677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

Murrieta, CA 92563
Phone (626) 664-2073

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-5528
Phone (951) 676-4193

Hospital & facility affiliations

  • Healthnet Home Care Services, Inc Home health agency, Burbank, CA, CCN 058461
  • Angelicare Home Health Inc Home health agency, Chino, CA, CCN 059316
  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Bridge Home Health Home health agency, Murrieta, CA, CCN 559145
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • The Springs Health and Rehabilitation Center Nursing home, Murrieta, CA, CCN 555915

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93879CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Aug 26, 2015 Accepting new patients
Gutierrez a Medical Corp Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Rolando Gutierrez M.D. a Medical Corporation Current Accepting new patients
Temecula Valley Skilled Nursing and Rehabilitation Center, LP PastSince Feb 15, 2018 Accepting new patients
California Healthfirst Physicians Family Medicine Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

4314 W Victory Blvd
Burbank, CA 91505
Phone (818) 843-6611

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

3853 W Stetson Ave
Ste 200
Hemet, CA 92545
Phone (951) 225-6802

30420 Haun Rd
Menifee, CA 92584

23811 Washington Ave
#C110272
Murrieta, CA 92562

25924 Jackson Ave
Murrieta, CA 92563
Phone (626) 664-2073

27190 Sun City Blvd
Sun City, CA 92586
Phone (951) 723-3804

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Springs Health and Rehabilitation CenterMurrieta, CA, CCN 555915 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 15, 2018
Feb 15, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1104841212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR",
            "address_2": "STE 160",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905528",
            "telephone_number": "951-676-4193",
            "fax_number": "951-225-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30420 HAUN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846810",
            "telephone_number": "951-676-4193",
            "fax_number": "951-225-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A93879",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/TRIWEST",
            "identifier": "ZZZ54049Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104841212",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316113145",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.