Active NPI
Jonathan Gutierrez, M.D.
- Emergency Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A139105
- Practice address
- 12221 Merit Dr Ste 1500
Dallas, TX 75251-2235 - Phone
- (214) 217-1911
- NPI assigned
- Apr 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q3371 | TX | |
| Emergency Medicine Physician | 207P00000X | A139105 | CA | Primary |
Addresses
Primary practice location
12221 Merit Dr Ste 1500
Dallas, TX 75251-2235
Mailing address
6909 Cinnabar Dr
Frisco, TX 75035-2177
Phone (919) 946-0932
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 747-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139105 | CA | MD | Emergency Medicine Physician |
| Q3371 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas - Houston, PLLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Texas PA | Emergency Medicine | Current | Accepting new patients |
| San Francisco Physicians International Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates Fremont PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Bluff Creek Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations (25 of 34)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- jgutierrez86410@santaclaravalley.direct-ci.net
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1679071690
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Emergency Medicine Physician
- Plainview, TX
- NPI 1760028740
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- Fremont, CA
- NPI 1790250967
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Emergency Medicine Physician
- San Ramon, CA
- NPI 1841220720
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1689930455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 CINNABAR DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750352177",
"telephone_number": "919-946-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MERIT DR STE 1500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512235",
"telephone_number": "214-217-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-06",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q3371",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A139105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "250 Hospital Pkwy",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951191103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.