Individual provider Active NPI

Robert C Gutierrez, MD

  • Orthopaedic Hand Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1730146374
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
9799 Issued in NV
Practice address
3717 S Rosecrest Cir
Las Vegas, NV 89121-4937
Phone
(702) 940-4263
Fax
(702) 940-4265
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 9799 NV Primary

Addresses

Primary practice location

3717 S Rosecrest Cir
Las Vegas, NV 89121-4937

Mailing address

3717 S Rosecrest Cir
Las Vegas, NV 89121-4937
Phone (702) 940-4263

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000885 CA Practitioner - Orthopedic Surgery 0749268985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1670 E 120TH St
Los Angeles, CA 90059-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9799NVMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Dec 22, 2021 Accepting new patients
County of Los Angeles CurrentSince Dec 22, 2021 Accepting new patients
Robert C Gutierrez MD Hand Surgery CurrentSince Jul 13, 2004 Accepting new patients
Crovetti Bone and Joint Institute of Southern Nevada Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

10001 S Eastern Ave
Ste 102
Henderson, NV 89052
Phone (702) 260-6565

Organizations & group practices 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1730146374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 S ROSECREST CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214937",
            "telephone_number": "702-940-4263",
            "fax_number": "702-940-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 S ROSECREST CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214937",
            "telephone_number": "702-940-4263",
            "fax_number": "702-940-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NV",
            "license": "9799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.