Individual provider Active NPI

Veronica Gutierrez, PHD, LP

  • Clinical Psychologist
  • Oceanside, CA
National Provider Identifier
1467674176
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21413 Issued in CA
Practice address
3609 Ocean Ranch Blvd Ste 208&209
Oceanside, CA 92056-2698
Phone
(858) 898-0549
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 21413 CA
School Psychologist 103TS0200X 21413 CA
Clinical Psychologist 103TC0700X 21413 CA Primary

Addresses

Primary practice location

3609 Ocean Ranch Blvd Ste 208&209
Oceanside, CA 92056-2698

Mailing address

3609 Ocean Ranch Blvd Ste 208&209
Oceanside, CA 92056-2698

Other practice location 1

380 S Melrose Dr Ste 300
Vista, CA 92081-6665
Phone (760) 712-7127

Other practice location 2

300 Rancheros Dr Ste 130
San Marcos, CA 92069-2968
Phone (858) 279-1223

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000285 CA Practitioner - Clinical Psychologist 0840399192 Reassigns benefits to 1 organization
Practice locations: Vista, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

3609 Ocean Ranch Blvd
Suite 208
Oceanside, CA 92056-2700
Phone (858) 279-1223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21413CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Inc Clinical CurrentSince Jun 10, 2020 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Aug 14, 2023 Accepting new patients

Locations

1720 El Camino Real
Ste 140
Burlingame, CA 94010

2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

3609 Ocean Ranch Blvd
Ste 208
Oceanside, CA 92056
Phone (760) 450-7859

3609 Ocean Ranch Blvd
Ste 208209
Oceanside, CA 92056
Phone (858) 898-0549

4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385

5222 Pirrone Ct
Ste 101A
Salida, CA 95368

4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223

12264 El Camino Real
Ste 203
San Diego, CA 92130

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

1245 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (415) 296-5299

300 Rancheros Dr
Ste 130
San Marcos, CA 92069

Interoperability endpoints

  • Direct secure messaging: veronica.gutierrezlcsw.p1@direct.vistacommunityclinic.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1467674176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 208&209",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 208&209",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562698",
            "telephone_number": "858-898-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 S Melrose Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816665",
            "country_code": "US",
            "telephone_number": "760-712-7127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Rancheros Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692968",
            "country_code": "US",
            "telephone_number": "858-279-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "21413",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "21413",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.