Individual provider Active NPI

Alicia Gutierrez Nugas, M.D

  • Family Medicine Physician
  • Hawaiian Gardens, CA
National Provider Identifier
1740437631
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34342 Issued in CA
Practice address
22408 Norwalk Blvd
Hawaiian Gardens, CA 90716-1546
Phone
(562) 421-2188
Fax
(562) 421-3934
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34342 CA Primary

Addresses

Primary practice location

22408 Norwalk Blvd
Hawaiian Gardens, CA 90716-1546

Mailing address

22408 Norwalk Blvd
Hawaiian Gardens, CA 90716-1546
Phone (562) 421-2188

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
I20110225000864 CA Practitioner - Family Practice 2062599376 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34342CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia G Nugas MD Inc PastSince Nov 20, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1740437631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22408 NORWALK BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161546",
            "telephone_number": "562-421-2188",
            "fax_number": "562-421-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22408 NORWALK BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161546",
            "telephone_number": "562-421-2188",
            "fax_number": "562-421-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGAS",
        "first_name": "ALICIA",
        "middle_name": "GUTIERREZ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

Verify at the official NPI Registry.