Fabian Nathaniel Gutierrez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005568 Issued in CA

Practice address

1217 Buena Vista St # 103a
Duarte, CA 91010-2411

Phone

(626) 531-6538

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1386182905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 BUENA VISTA ST # 103A",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102411",
            "telephone_number": "626-531-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 BUENA VISTA ST # 103A",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102411",
            "telephone_number": "626-531-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "FABIAN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bernard Gruber, M.D.
• Nikole Grulla, BCBA
• Sierra Louise Guevara
• Monica Regina Guillemin, PA-C
• Amanda Gutierrez, CRNA
• Gloria Elizabeth Gutierrez, PNP
• Eduardo Alberto Guzman, MD
• Enrique Guzman Jr.
• Leah Nicole Hamel, LCSW
• Stanley R. Hamilton, M.D.

• Family Nurse Practitioner in Duarte, CA
• Providers in Duarte, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.