NPIMap

Organization Active NPI

Erasto Gutierrez MD Inc

  • Urgent Care Clinic/Center
  • Pomona, CA
National Provider Identifier
1609498690
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ERASTO GUTIERREZ MD INC
Practice address
1749 N Garey Ave
Pomona, CA 91767-2913
Phone
(909) 729-5079
Fax
(909) 729-5081
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Archie Trinidad
Title
Manager
Phone
(909) 729-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1749 N Garey Ave
Pomona, CA 91767-2913

Mailing address

1749 N Garey Ave
Pomona, CA 91767-2913
Phone (909) 729-5079

National Provider Directory

National Provider Directory
Tax ID family
Erasto Gutierrez MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1609498690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672913",
            "telephone_number": "909-729-5079",
            "fax_number": "909-729-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672913",
            "telephone_number": "909-729-5079",
            "fax_number": "909-729-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERASTO GUTIERREZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-729-5079"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.