Individual provider Active NPI

Editha Gutierrez, ANP

  • Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1407284193
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF10364 Issued in CA
Practice address
12291 Washington Blvd Ste 205
Whittier, CA 90606
Phone
(562) 789-5447
Fax
(562) 789-4447
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF10364 CA Primary

Addresses

Primary practice location

12291 Washington Blvd Ste 205
Whittier, CA 90606

Mailing address

12291 Washington Blvd Ste 205
Whittier, CA 90606-2549
Phone (562) 789-5447

Other practice location 1

725 W La Veta
Suite #220
Orange, CA 92868-4446
Phone (714) 771-5700 ext. 3

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF10364CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1407284193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062549",
            "telephone_number": "562-789-5447",
            "fax_number": "562-789-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90606",
            "telephone_number": "562-789-5447",
            "fax_number": "562-789-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 W La Veta",
            "address_2": "Suite #220",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684446",
            "country_code": "US",
            "telephone_number": "714-771-5700 x3",
            "fax_number": "714-771-9979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "EDITHA",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.