Individual provider Active NPI

David Gutierrez, NP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1265153753
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022060 Issued in CA
Practice address
903 S Bristol St Ste J
Santa Ana, CA 92703-4983
Phone
(714) 835-4552
NPI assigned
Sep 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022060 CA Primary

Addresses

Primary practice location

903 S Bristol St Ste J
Santa Ana, CA 92703-4983

Mailing address

1123 E 71St Way
Long Beach, CA 90805-1031
Phone (562) 276-5847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430000762 CA Practitioner - Nurse Practitioner 8921524240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022060CAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc General Practice Current Accepting new patients
Central City Community Health Center Inc CurrentSince Feb 14, 2025 Accepting new patients
Clinica Michoacan CurrentSince May 7, 2023 Accepting new patients
Central City Community Health Center Inc CurrentSince Feb 14, 2025 Accepting new patients

Locations

1820 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 635-0593

12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

903 S Bristol St
Ste J
Santa Ana, CA 92703
Phone (714) 835-4552

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1265153753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 E 71ST WAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051031",
            "telephone_number": "562-276-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S BRISTOL ST STE J",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927034983",
            "telephone_number": "714-835-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.