Luis Carlos Gutierrez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6258 Issued in AZ

Practice address

700 W Campbell Ave Ste 15
Phoenix, AZ 85013-2691

Phone

(623) 600-4126

Fax

(628) 412-7317

NPI assigned

Oct 14, 2015

Last updated

Nov 2, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carlos Gutierrez PLLCGroup PAC ID 9133575103, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos Gutierrez PLLC

  dba InclusiCare Medical

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1811777568
  Medicare reassignment Care Compare group Authorized official
• Mayo Clinic Arizona

  dba Mayo Clinic Scottsdale

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558332494
  Medicare reassignment NPD
• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  Medicare reassignment
• Mayo Clinic Arizona

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1699520049
  NPD
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)
• Glendale Pediatrics LLC

  dba Glendale Pediatrics & Family Care

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1043074610
  NPD (past)
• Glendale Pediatrics LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1336335983
  NPD (past)
• Msmancina Associates Arizona, PLLC

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1619109683
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1295106391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CAMPBELL AVE STE 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132691",
            "telephone_number": "623-600-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CAMPBELL AVE STE 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132691",
            "telephone_number": "623-600-4126",
            "fax_number": "628-412-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LUIS",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075466",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Gutierrez, M.D.
• Julieanne Gutierrez, FNP-C
• Kelly Gutierrez
• Kirby A Gutierrez, FNP
• Lonna Gutierrez, NP
• Mario Gutierrez
• Martha Helena Gutierrez, M.A.
• Mayra Gutierrez
• Oralia Gutierrez, LCSW
• Rafael Gutierrez, MD

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.