Active NPI
Karem Gutierrez
- Dental Hygienist
- Long Beach, CA
National Provider Identifier
1376150227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 31650
- Practice address
- 1835 Ximeno Ave
Long Beach, CA 90815-2850 - Phone
- (562) 216-1990
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31650 | CA | Primary |
Addresses
Primary practice location
1835 Ximeno Ave
Long Beach, CA 90815-2850
Mailing address
8243 Santa Inez Way
Buena Park, CA 90620-3158
Phone (714) 822-7595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31650 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dentrix | Direct | |
| CONNECT URL | dentrix | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31650 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1376150227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8243 SANTA INEZ WAY",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203158",
"telephone_number": "714-822-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 XIMENO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152850",
"telephone_number": "562-216-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "KAREM",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "31650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31650",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dentrix",
"affiliation": "N",
"endpointDescription": "Dentrix",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8232 Santa Inez Dr",
"city": "Buena Park",
"state": "CA",
"country_code": "US",
"postal_code": "906203152",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dentrix",
"affiliation": "N",
"endpointDescription": "centric",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1835 Ximeno Ave",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908152850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.