Organization Active NPI

Rolando Gutierrez M.D. a Medical Corporation

  • Legal Medicine
  • Burbank, CA
National Provider Identifier
1326314576
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A93879 Issued in CA
Legal business name
ROLANDO GUTIERREZ M.D. A MEDICAL CORPORATION
Practice address
4314 W Victory Blvd
Burbank, CA 91505-1334
Phone
(818) 843-6611
Fax
(818) 843-6656
NPI assigned
Mar 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Authorized official

Name
Dr. Rolando Gutierrez, M.D.NPI 1104841212
Title
President
Phone
(626) 664-2073

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X A93879 CA Primary

Addresses

Primary practice location

4314 W Victory Blvd
Burbank, CA 91505-1334

Mailing address

4314 W Victory Blvd
Burbank, CA 91505-1334
Phone (818) 843-6611

National Provider Directory

National Provider Directory

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": "1333152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333152000000",
    "number": "1326314576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO GUTIERREZ M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-03-31",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-664-2073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A93879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.