Individual provider Active NPI

Aireen Lugue Gutierrez, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1306857701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WA77031A Issued in CA
Practice address
3914 Murphy Canyon Rd
Suite A150
San Diego, CA 92123-4491
Phone
(858) 573-9902
Fax
(858) 573-9906
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X WA77031A CA Primary

Addresses

Primary practice location

3914 Murphy Canyon Rd
Suite A150
San Diego, CA 92123-4491

Mailing address

3914 Murphy Canyon Rd
Suite A150
San Diego, CA 92123-4491
Phone (858) 573-9902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001145 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7911960836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
WA77031ACAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 9, 2014 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2019 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince May 9, 2014 Accepting new patients
Hospice Touch, Inc. Past Accepting new patients
Home Physicians Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: agutierrez105741@scrippshlth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306857701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "SUITE A150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-573-9902",
            "fax_number": "858-573-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "SUITE A150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-573-9902",
            "fax_number": "858-573-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "AIREEN",
        "middle_name": "LUGUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "WA77031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.