Individual provider Active NPI

Juan Carlos Gutierrez, D.C.

  • Chiropractor
  • Sanger, CA
National Provider Identifier
1790031979
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32058 Issued in CA
Practice address
609 O St
Sanger, CA 93657-2416
Phone
(559) 907-1170
NPI assigned
Jul 25, 2012
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32058 CA Primary

Addresses

Primary practice location

609 O St
Sanger, CA 93657-2416

Mailing address

609 O St
Sanger, CA 93657-2416
Phone (559) 875-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130215000400 CA Practitioner - Chiropractic 1456505684 Reassigns benefits to 1 organization
Practice locations: Sanger, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Jun 9, 2018 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Jun 9, 2018 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Omni Family Health Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625

1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741

Interoperability endpoints

  • Direct secure messaging: juan.gutierrez.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 7

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1790031979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572416",
            "telephone_number": "559-875-4569",
            "fax_number": "559-358-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572416",
            "telephone_number": "559-907-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.