Larissa Lynn Gutierrez

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9705 Issued in CA

Practice address

6840 Indiana Ave Ste 150
Riverside, CA 92506-4271

Phone

(951) 530-8148

Fax

(760) 818-8025

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Transgender Health and Wellness Center

  • Specialist
  • Riverside, CA
  • NPI 1063028314
  NPD
• Transgender Health and Wellness Center

  • Clinic/Center
  • Palm Springs, CA
  • NPI 1447740824
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1548929102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S FARRELL DR STE A208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627931",
            "telephone_number": "760-202-4308",
            "fax_number": "760-818-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE STE 150",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064271",
            "telephone_number": "951-530-8148",
            "fax_number": "760-818-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Gutierrez
• Jennifer Zulema Gutierrez, PA-C
• John Gutierrez
• Katherine Lucia Gutierrez, DPM
• Kevin Gutierrez, MD
• Leilani Gutierrez
• Madelein Araiz Gutierrez
• Maya Gutierrez
• Mayan Gutierrez
• Monica Gutierrez

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.