NPIMap

Individual provider Active NPI

Juan Gutierrez

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1144762774
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123130 Issued in CA
Practice address
4080 Loma Vista Rd Ste F
Ventura, CA 93003-1811
Phone
(805) 667-2841
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123130 CA Primary

Addresses

Primary practice location

4080 Loma Vista Rd Ste F
Ventura, CA 93003-1811

Mailing address

1911 Williams Dr Ste 150
Oxnard, CA 93036-2612
Phone (805) 981-8460

Other practice location 1

1911 Williams Dr Ste 150
Oxnard, CA 93036-2612
Phone (805) 981-8460

Other identifiers 1

IdentifierTypeStateIssuer
102408OtherCABOARD OF BEHAVIORAL SCIENCES

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
I20250923004009 CA Practitioner - Clinical Social Worker 3870098676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Ventura CountyGroup PAC ID 1759519390, 13 clinicians
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

4080 Loma Vista Rd
Suite F
Ventura, CA 93003-1811
Phone (805) 667-2841

852 W Ventura St
Fillmore, CA 93015-1837
Phone (805) 524-2672

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123130CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Sep 1, 2025 Accepting new patients
Community Memorial Health System CurrentSince Sep 1, 2025 Accepting new patients
County of Ventura CurrentSince Jun 4, 2023 Accepting new patients
Community Physicians of Ventura County CurrentSince Sep 1, 2025 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Physicians of Ventura County CurrentSince Sep 1, 2025 Accepting new patients
County of Ventura PastSince Aug 1, 2021 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

1911 Williams Dr
Ste 150
Oxnard, CA 93036
Phone (805) 981-8460

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

4080 Loma Vista Rd
Ste F
Ventura, CA 93003
Phone (805) 642-2574

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 10

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": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1144762774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 150",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-981-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD STE F",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-667-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Williams Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362612",
            "country_code": "US",
            "telephone_number": "805-981-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "102408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.