Gutierrez Chiropractic Management Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GUTIERREZ CHIROPRACTIC MANAGEMENT INCORPORATED

Practice address

28122 S Western Ave
San Pedro, CA 90732-1248

Phone

(310) 935-2470

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark Gutierrez, DCNPI 1114357969

Title

President

Phone

(702) 373-9341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Gutierrez, DC

  • Chiropractor
  • Tustin, CA
  • NPI 1114357969
  Medicare reassignment NPD Authorized official
• Alison Booth, L.AC., DIPL. AC.

  • Acupuncturist
  • San Pedro, CA
  • NPI 1215577747
  NPD
• Eunice Nam, D.C.

  • Chiropractor
  • Tustin, CA
  • NPI 1932797982
  NPD
• Enrique Santana, DC

  • Chiropractor
  • San Pedro, CA
  • NPI 1003197492
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1457100281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28122 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321248",
            "telephone_number": "310-935-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28122 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321248",
            "telephone_number": "310-935-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ CHIROPRACTIC MANAGEMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-373-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonor Guerrero
• Guillermo Rubiano DDS Inc
• Gulick and Rubens Chiropractic, Inc.
• Sara Gulino
• Guru Chiropractic Wellness Inc.
• Karla Berenice Guzman Alba, ASW132718
• Stephany Guzman
• Hacc Inc
• Bruce Edward Hackman, MSW
• Nicole R Hadley, MS

• Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.