NPIMap

Organization Active NPI

Gutierrez Chiropractic Inc

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1356844682
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32691 Issued in CA
Legal business name
GUTIERREZ CHIROPRACTIC INC
Practice address
13732 Newport Ave Ste 1
Tustin, CA 92780-4698
Phone
(714) 406-0242
NPI assigned
Mar 13, 2018
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Mark Gutierrez, DCNPI 1114357969
Title
Chiropractor/President
Phone
(714) 406-0242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC32691 CA Primary

Addresses

Primary practice location

13732 Newport Ave Ste 1
Tustin, CA 92780-4698

Mailing address

13732 Newport Ave Ste 1
Tustin, CA 92780-4698
Phone (714) 406-0242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1356844682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13732 NEWPORT AVE STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804698",
            "telephone_number": "714-406-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13732 NEWPORT AVE STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804698",
            "telephone_number": "714-406-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "714-406-0242",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.