Manuel Fernando Gutierrez Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21383 Issued in NV

Practice address

2920 N Green Valley Pkwy Ste 217
Henderson, NV 89014-0407

Phone

(725) 724-2261

Fax

(702) 909-8213

NPI assigned

Mar 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Manuel Gutierrez Professional name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGDFDD/Endpoint/HGDFDD

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.

• Gutierrez MD, PLLC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1518716679
  Medicare reassignment NPD Authorized official
• Hope Christian Health Center Corp

  • Federally Qualified Health Center (FQHC)
  • North Las Vegas, NV
  • NPI 1184038176
  Medicare reassignment NPD
• Hope Christian Health Center Corp

  • Federally Qualified Health Center (FQHC)
  • North Las Vegas, NV
  • NPI 1629595889
  NPD
• Hope Christian Health Center Corp

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
  • NPI 1699667790
  NPD
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1497259196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 217",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140407",
            "telephone_number": "702-909-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 217",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140407",
            "telephone_number": "725-724-2261",
            "fax_number": "702-909-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 N Martin L King Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890323205",
            "country_code": "US",
            "telephone_number": "702-644-4673",
            "fax_number": "702-902-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MANUEL",
        "middle_name": "FERNANDO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "21383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "GUTIERREZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Arabella Gutierrez
• Astley Gutierrez
• Irene Amanda Gutierrez, MD, MPH
• Jaclyn M Gutierrez, COTA/L
• Jake Gutierrez
• Maria Theresa Gutierrez, APRN
• Maricela Gutierrez
• Paul Martin Gutierrez, DDS
• Kathleen A Gutzat, OTR/L
• Tatiana Guyton

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.