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
- 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 | Pharmacist |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Santa Rosa, CA
- NPI 1639115249
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
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.