Active NPI
Elvia Beltran Gutierrez
- Student in an Organized Health Care Education/Training Program
- San Francisco, CA
National Provider Identifier
1376156349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1001 Portrero Ave # 6B
San Francisco, CA 94110-3518 - Phone
- (209) 351-3161
- NPI assigned
- Aug 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1001 Portrero Ave # 6B
San Francisco, CA 94110-3518
Mailing address
1644 Prince St Apt 6
Berkeley, CA 94703-2342
Phone (209) 351-3161
Other practice location 1
1644 Prince St Apt 6
Berkeley, CA 94703-2342
Other practice location 2
1501 Fruitvale Ave
Oakland, CA 94601-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15136793 | Other | CA | KAISER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elvia_gutierrez@berkeley.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1376156349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 PRINCE ST APT 6",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032342",
"telephone_number": "209-351-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PORTRERO AVE # 6B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "209-351-3161"
}
],
"practiceLocations": [
{
"address_1": "1644 Prince St Apt 6",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947032342",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Fruitvale Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946012322",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ELVIA",
"middle_name": "BELTRAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "15136793",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elvia_gutierrez@berkeley.edu",
"affiliation": "N",
"address_1": "1644 Prince St Apt 6",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947032342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.