Enrique Gutierrez Jr.

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

1536 Issued in CA

Practice address

27192 Newport Rd Ste 1
Menifee, CA 92584-7387

Phone

(951) 566-4444

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lucid Speech & Language

  • Speech-Language Pathologist
  • Murrieta, CA
  • NPI 1336240324
  NPD (past)
• Lucid Speech and Language Clinic, Inc.

  • Speech-Language Pathologist
  • Murrieta, CA
  • NPI 1457805251
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1326544982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE STE D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621708",
            "telephone_number": "951-461-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27192 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847387",
            "telephone_number": "951-566-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ENRIQUE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Guevara
• Natalie Guevara
• Lindsey Rae Gump, OTR/L
• Vadim Gurvits, D.O.
• Brandan Gutierrez, BA
• Rolando Gutierrez, M.D.
• Angel Marie Guzman
• Katherine Hague
• Deeva Hall
• Patricia Hall

• Speech-Language Assistant in Menifee, CA
• Providers in Menifee, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.