Juan Manuel Gutierrez, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY15192 Issued in CA

Practice address

827 State St
Suite 26
Santa Barbara, CA 93101-3239

Phone

(805) 965-1979

NPI assigned

Feb 5, 2007

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275672644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 STATE ST",
            "address_2": "SUITE 26",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013239",
            "telephone_number": "805-965-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 STATE ST",
            "address_2": "SUITE 26",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013239",
            "telephone_number": "805-965-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JUAN MANUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY15192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gutfreund, MA, MFT
• Norma Itzel Gutierrez Ramirez, MD
• Belen Ramirez Gutierrez
• Courtney Gutierrez
• Dakota Gabriel Gutierrez
• Lynda Gutierrez, M.A.
• Marissa Sarah Gutierrez, REGISTERED NURSE
• Maritza L Gutierrez, AMFT
• Robert Daniel Gutierrez Jr.
• Sandra Gutierrez

• Clinical Neuropsychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.