Individual provider Active NPI

Emmanuel Beltran Gutierrez, MD

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1467038935
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A194948 Issued in CA
Practice address
2024 Chaparral Dr
El Centro, CA 92243-6115
Phone
(760) 234-2691
NPI assigned
Mar 23, 2021
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A194948 CA Primary

Addresses

Primary practice location

2024 Chaparral Dr
El Centro, CA 92243-6115

Mailing address

2024 Chaparral Dr
El Centro, CA 92243-6115
Phone (442) 220-1550

Other practice location 1

400 Mary Ave Ste 1
Calexico, CA 92231-2875
Phone (442) 220-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001060 CA Practitioner - Internal Medicine 5991232902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians
Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-4892

400 Mary Ave
Suite 2
Calexico, CA 92231-2875
Phone (760) 909-0516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A194948CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyson Medical Inc CurrentSince Jan 17, 2025 Accepting new patients
Tyson Medical Inc CurrentSince Jan 17, 2025 Accepting new patients
24 On Physicians of California, PC CurrentSince Oct 31, 2024 Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

630 S Brawley Ave
Ste 10
Brawley, CA 92227
Phone (760) 623-1202

630 S Brawley Ave
Ste 9
Brawley, CA 92227
Phone (760) 623-1202

400 Mary Ave
Ste 1
Calexico, CA 92231
Phone (442) 220-1550

400 Mary Ave
Ste 2
Calexico, CA 92231
Phone (760) 592-4351

1044 Cherry Valley Blvd
Calimesa, CA 92320
Phone (760) 592-4351

1044 Cherry Valley Blvd
#430
Calimesa, CA 92320
Phone (760) 592-4351

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

2026 N Imperial Ave
Ste D
El Centro, CA 92243
Phone (323) 745-7700

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1467038935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 CHAPARRAL DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436115",
            "telephone_number": "442-220-1550",
            "fax_number": "442-220-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CHAPARRAL DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436115",
            "telephone_number": "760-234-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Mary Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922312875",
            "country_code": "US",
            "telephone_number": "442-220-1550",
            "fax_number": "442-220-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRAN GUTIERREZ",
        "first_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A194948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.