Laura Isabel Gutierrez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

99886 Issued in CA

Practice address

9445 Fairway View PL Ste 100
Rancho Cucamonga, CA 91730-0930

Phone

(909) 983-2020

NPI assigned

Apr 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• West End Family Counseling Service

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1053861922
  NPD
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phillips Ranch, CA
  • NPI 1013469881
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1144800822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 FAIRWAY VIEW PL STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300930",
            "telephone_number": "909-983-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 FAIRWAY VIEW PL STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300930",
            "telephone_number": "909-983-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LAURA",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99886",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "99886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "19BZ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evangelina Gutierrez, BEHAVIORIST
• Isabella Gutierrez
• Jessenia Gutierrez
• Kimberly Gutierrez
• Kitzia Gutierrez
• Mallory Gutierrez
• Rick Daniel Gutierrez Jr., BCBA
• Roxanna Gutierrez
• Tara Ann Gutierrez
• Vivianna Gutierrez

• Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.