Guillermina Gutierrez, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A76597 Issued in CA

Practice address

2100 W 3Rd St Ste 400
Los Angeles, CA 90057-2290

Phone

(323) 454-6940

NPI assigned

Oct 26, 2006

Reactivated

Mar 18, 2022

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ahmc Greater El Monte Comm Hosp LLC

  • Community/Retail Pharmacy
  • South El Monte, CA
  • NPI 1922115526
  NPD (past)
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1629153515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572290",
            "telephone_number": "323-454-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572290",
            "telephone_number": "323-454-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GUILLERMINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-18",
        "deactivation_date": "2022-02-03",
        "reactivation_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Gutierrez, MD
• Gabriela Gutierrez
• Gabrillana Isabel Gutierrez
• Gisselle Gutierrez
• Gisselle Sarahi Gutierrez
• Humberto A Gutierrez, DO
• Ilene Gutierrez
• Isabel Gutierrez
• Jacob James Gutierrez, MD
• Jacqueline Gutierrez

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.