Noemi Adriana Gutierrez, PA-C – Physician Assistant

Key facts

NPI: 1245458124
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: PA15268 (CA)
Practice address: 3705 E. Gage Ave.
Bell, CA 90201
Phone: (323) 581-8485
Fax: (323) 582-9091
NPI assigned: Apr 23, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

R Srinivasan MD Inc Rheumatology Physician · Monterey Park, CA · NPI 1780733923

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
15268	CA	MD	Clinical Social Worker
PA15268	CA	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
R Srinivasan MD Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PA15268	CA	Yes

Addresses

Primary practice location

3705 E. Gage Ave.
Bell, CA 90201

Mailing address

311 S. Orange Dr.
Los Angeles, CA 90036
Phone (626) 329-7618

Other identifiers

Identifier	Type	State	Issuer
PA15268	Other	CA	P.A. LICENSE

Other providers in Bell, CA

All providers in Bell, CA · Physician Assistant in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.