Individual provider Active NPI

Jonathan Gutierrez, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1689930455
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A139105 Issued in CA
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

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151009000057 TX Practitioner - Emergency Medicine 3274841317 Reassigns benefits to 4 organizations
I20170324001141 CA Practitioner - Emergency Medicine 3274841317 Reassigns benefits to 7 organizations

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
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

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

LicenseStateTypeSpecialty
A139105CAMDEmergency Medicine Physician
Q3371TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince May 21, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Aug 12, 2018 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Sep 15, 2021 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Emergency Physicians Associates Fremont PC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Aug 12, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince May 21, 2023 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 1, 2018 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

  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.