Jiliberto Gutierrez-Garcia Jr.

Individual provider Active NPI Community Health Worker · Mecca, CA

NPI 1508737941 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1508737941
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
91177 Cielo CT
Mecca, CA 92254-7030
Phone
(760) 373-0472
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Yes

Addresses

Primary practice location

91177 Cielo CT
Mecca, CA 92254-7030

Mailing address

91177 Cielo CT
Mecca, CA 92254-7030

Electronic endpoints

TypeEndpointUseAffiliation
Other URL IEHPProviderPortal Health Information Exchange (HIE)

Other providers in Mecca, CA

All providers in Mecca, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.