Active NPI
Jennifer Gutzmore, M.D.
- Internal Medicine Physician
- Glendale, CA
National Provider Identifier
1326468026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C42003
- Practice address
- 400 N Brand Blvd
Glendale, CA 91203-2311 - Phone
- (818) 500-6459
- Fax
- (860) 760-0132
- NPI assigned
- Apr 21, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C42003 | CA | Primary |
Addresses
Primary practice location
400 N Brand Blvd
Glendale, CA 91203-2311
Mailing address
400 N Brand Blvd
Glendale, CA 91203-2311
Phone (818) 500-6459
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42003 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1326468026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N BRAND BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032311",
"telephone_number": "818-500-6459",
"fax_number": "860-760-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BRAND BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032311",
"telephone_number": "818-500-6459",
"fax_number": "860-760-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTZMORE",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C42003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.