Individual provider Active NPI

M. Nieves Eusebio Gutierrez-Go, M.D.

  • Pediatrics Physician
  • Indio, CA
National Provider Identifier
1669449773
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A51819 Issued in CA
Practice address
80495 US Highway 111
Indio, CA 92201-6534
Phone
(760) 347-2887
Fax
(760) 347-0776
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A51819 CA Primary

Addresses

Primary practice location

80495 US Highway 111
Indio, CA 92201-6534

Mailing address

80495 US Highway 111
Indio, CA 92201-6534
Phone (760) 347-2887

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51819CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Nieves Gutierrez-Go, MD, Inc Pediatrics Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1669449773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887",
            "fax_number": "760-347-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80495 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016534",
            "telephone_number": "760-347-2887",
            "fax_number": "760-347-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-GO",
        "first_name": "M. NIEVES",
        "middle_name": "EUSEBIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.