Jasmine Gutierrez

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Practice address

15573 Peace Pipe St
Victorville, CA 92394-6705

Phone

(951) 525-7000

NPI assigned

May 24, 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

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1154996965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15573 PEACE PIPE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946705",
            "telephone_number": "951-525-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15573 PEACE PIPE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946705",
            "telephone_number": "951-525-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megha Nayyar Gupta, MD
• Nikhil Gupta, M.D.
• Miranda Roxanne Guthrie
• Angela Gutierrez
• Gavin R Gutierrez
• Jenny Gutierrez
• Karizma Patricia Gutierrez, FNP-C
• Linda Gamont Gutierrez
• Olga Gutierrez
• Paz Gutierrez, CSACI, CSACII, CDAAC

• Medical Specialty Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.