Active NPI
Alberto Gutierrez Jr.
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1609406909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801109069
- Practice address
- 1601 Concord Ave
Chico, CA 95928-9487 - Phone
- (530) 892-3827
- Fax
- (530) 892-3837
- NPI assigned
- Jan 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 086839 | IA | |
| Clinical Social Worker | 1041C0700X | 6801109069 | MI | Primary |
Addresses
Primary practice location
1601 Concord Ave
Chico, CA 95928-9487
Mailing address
1601 Concord Ave
Chico, CA 95928-9487
Phone (530) 892-3827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801109069 | MI | MD | Clinical Social Worker |
| 086839 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1609406909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CONCORD AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959289487",
"telephone_number": "530-892-3827",
"fax_number": "530-892-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONCORD AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959289487",
"telephone_number": "530-892-3827",
"fax_number": "530-892-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ALBERTO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-25",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "086839",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801109069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.