Organization Active NPI

Sylvia Gutierrez MD Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1295931749
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SYLVIA GUTIERREZ MD FAMILY MEDICINE
Practice address
6707 N 19TH Avenue Ste 104
Phoenix, AZ 85015-1104
Phone
(602) 246-8459
Fax
(602) 246-8410
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Sylvia Gutierrez, MDNPI 1023103264
Title
Owner Phyicisan
Phone
(602) 246-8459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6707 N 19TH Avenue Ste 104
Phoenix, AZ 85015-1104

Mailing address

6707 N 19TH Ave Ste 104
Phoenix, AZ 85015-1105
Phone (602) 246-8459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070829000468 AZ Part B Supplier - Clinic/Group Practice 5799878203 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1057291Sylvia Gutierrez MD Family Medicine6707 N 19TH Avenue #104, Phoenix, AZ 85015Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory

Locations

6707 N 19th Ave
Ste 104
Phoenix, AZ 85015
Phone (602) 246-8459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1295931749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151105",
            "telephone_number": "602-246-8459",
            "fax_number": "602-246-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVENUE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151104",
            "telephone_number": "602-246-8459",
            "fax_number": "602-246-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIA GUTIERREZ MD FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER PHYICISAN",
        "authorized_official_telephone_number": "602-246-8459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.