Individual provider Active NPI

Andrew Jacob Gutierrez, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1659694487
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31575 Issued in CA
Practice address
2211 Corinth Ave Ste 301
Los Angeles, CA 90064-1622
Phone
(310) 742-6261
Fax
(310) 478-8521
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31575 CA Primary

Addresses

Primary practice location

2211 Corinth Ave Ste 301
Los Angeles, CA 90064-1622

Mailing address

1212 5TH St Ste 300
Santa Monica, CA 90401-1443
Phone (310) 993-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000616 CA Practitioner - Chiropractic 1850584954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31575CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nepomnaschy Chiropractic Inc. Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

1212 5th St
Ste 300
Santa Monica, CA 90401
Phone (310) 993-8482

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1659694487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 5TH ST STE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011443",
            "telephone_number": "310-993-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641622",
            "telephone_number": "310-742-6261",
            "fax_number": "310-478-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANDREW",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.