M. Nieves Gutierrez-Go, MD, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A51819 Issued in CA

Legal business name

M. NIEVES GUTIERREZ-GO, MD, INC

Practice address

80495 US Highway 111
Indio, CA 92201-6534

Phone

(760) 347-2887

Fax

(760) 347-0776

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

M. Nieves Gutierrez-GoNPI 1669449773

Title

President

Phone

(760) 347-2887

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M. Nieves Eusebio Gutierrez-Go, M.D.

  • Pediatrics Physician
  • Indio, CA
  • NPI 1669449773
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1336315902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887",
            "fax_number": "760-347-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887",
            "fax_number": "760-347-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. NIEVES GUTIERREZ-GO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-GO",
        "authorized_official_first_name": "M. NIEVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-347-2887"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Lundquist, PH.D.
• Kendra N Lutzow, LCSW
• Luxottica Retail North America Inc
• Luyen Pham DPM Inc
• Michael Lyon, PHARM.D.
• M.R. Danforth, D.O., P.C.
• Michelle Maccarone
• Richard Macias
• Christianne Lizzette Madriaga, RN PHN
• Alyce Madrigal

• Pediatrics Physician in Indio, CA
• Providers in Indio, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.