Active NPI
Andrea S Gutierrez, PHARMD
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1306146808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61220
- Practice address
- 1300 N Dutton Ave
Santa Rosa, CA 95401-7112 - Phone
- (707) 303-3600
- NPI assigned
- Oct 30, 2010
- Last updated
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61220 | CA | Primary |
Addresses
Primary practice location
1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Mailing address
1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Phone (707) 303-3600
Other practice location 1
751 Lombardi Ct
Santa Rosa, CA 95407-6798
Phone (707) 303-3600 ext. 3709
Other practice location 2
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600 ext. 3709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61220 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1306146808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017112",
"telephone_number": "707-303-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017112",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [
{
"address_1": "751 Lombardi Ct",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954076798",
"country_code": "US",
"telephone_number": "707-303-3600 x3709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3569 Round Barn Cir",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035781",
"country_code": "US",
"telephone_number": "707-303-3600 x3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ANDREA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-30",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.