Damian N Gutierres

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3224 McHenry Ave
Suite E
Modesto, CA 95350

Phone

(209) 493-8707

NPI assigned

Dec 23, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Danni N Gutierres Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1457169401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 LEEDOM RD",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "953269232",
            "telephone_number": "209-493-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 MCHENRY AVE",
            "address_2": "SUITE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-493-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERRES",
        "first_name": "DAMIAN",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNI",
            "last_name": "GUTIERRES",
            "middle_name": "N",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ankur Gupta, MD
• Indu Gupta, M.D.
• Zachary Tyler Gurr, MSW
• Gurunanak Investment LLC (KD Medical Transportation)
• Kylee Guthrie
• Kevin Gutierrez Jimenez
• Alba J Gutierrez
• Ali Gutierrez
• Alyssa Barcelona Gutierrez, MD
• April Gutierrez

• Behavior Technician in Modesto, CA
• Providers in Modesto, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.