Active NPI
Diana Gutierrez
- Community Health Worker
- Lynwood, CA
National Provider Identifier
1770131088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3591 E Imperial Hwy
Lynwood, CA 90262-2654 - Phone
- (310) 223-1035
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
3591 E Imperial Hwy
Lynwood, CA 90262-2654
Mailing address
14371 Clark Ave
Bellflower, CA 90706-2901
Phone (562) 888-6233
Other practice location 1
14371 Clark Ave
Bellflower, CA 90706-2901
Phone (562) 888-6233 ext. 5507
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1770131088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14371 CLARK AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062901",
"telephone_number": "562-888-6233",
"fax_number": "562-867-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622654",
"telephone_number": "310-223-1035"
}
],
"practiceLocations": [
{
"address_1": "14371 Clark Ave",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907062901",
"country_code": "US",
"telephone_number": "562-888-6233 x5507",
"fax_number": "562-867-6033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "DIANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.