Crystal Dawn Gutierrez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012700 Issued in CA

Practice address

25109 Jefferson Ave Ste 100
Murrieta, CA 92562-8117

Phone

(951) 698-0440

Fax

(888) 896-1496

NPI assigned

Sep 9, 2019

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.gutierrez.p4@direct.regal.nextgenshare.com
• Direct secure messaging: cgutierrez7412@direct.llu.edu
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Regal Medical Group, Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1588748073
  Medicare reassignment NPD
• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1639728942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-698-0440",
            "fax_number": "888-896-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-698-0440",
            "fax_number": "888-896-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakem Guizar
• Tatum Olivia Gunzel, M.A. OF ED, SLP-CCC
• Linda Gutierez, CMA
• Gutierrez a Medical Corp
• Angelica Gutierrez
• Gisselle A Gutierrez
• Joshua Gutierrez
• Luz Gutierrez
• Jessica Saldana Guzman
• H and R Family Counseling Services, Inc.

• Family Nurse Practitioner in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.