Martha Ligia Gutierrez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D44176 Issued in CA

Practice address

12703 Prairie Ave
Hawthorne, CA 90250-4612

Phone

(310) 676-2442

Fax

(310) 676-2447

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Martha Gutierrez DDS Inc

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1912116971
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1356493597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12703 PRAIRIE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504612",
            "telephone_number": "310-676-2442",
            "fax_number": "310-676-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12703 PRAIRIE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504612",
            "telephone_number": "310-676-2442",
            "fax_number": "310-676-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARTHA",
        "middle_name": "LIGIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D44176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1356493597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Grow
• Matthew Guerrero, RPH
• Guidance Health Services, Inc.
• Alejandra Gutierrez, PPS
• Gonzalo Gutierrez Jr.
• Mohsen Haghighatpour, DDS MD
• Elilta M. Hagos, M.D., M.P.H
• Hand in Hand Transportation LLC
• Laura Hansen, PT, DPT
• Harbor UCLA Medical Center

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.