Noe George Gutierrez, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

G0509070942 Issued in CA

Practice address

74923 Hovley LN E
Palm Desert, CA 92260-1927

Phone

(760) 863-2856

Fax

(760) 770-2240

NPI assigned

Feb 24, 2011

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1255638490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74923 HOVLEY LN E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601927",
            "telephone_number": "760-863-2856",
            "fax_number": "760-770-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74923 HOVLEY LN E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601927",
            "telephone_number": "760-863-2856",
            "fax_number": "760-770-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NOE",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "G0509070942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jingya Guo
• Gurpreet Dhillon Medical Corporation
• Maria Helena Gutierrez Gonzalez
• Giovanna Gutierrez
• Jazmin Desiree Gutierrez
• Kristin Kay Guziewicz, M.S. CCC-SLP
• Davia Maiquel Guzman
• H David Sacks DO a Professional Medical Corporation
• H.L.H. and Associates, Inc.
• Robert Walter Haberkorn, DC

• Addiction (Substance Use Disorder) Counselor in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.