Active NPI
Anna Gute
- Dentist
- Poway, CA
National Provider Identifier
1790269348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103155
- Practice address
- 12705 Monte Vista Rd
Poway, CA 92064-2529 - Phone
- (858) 487-8090
- NPI assigned
- Sep 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103155 | CA | Primary |
Addresses
Primary practice location
12705 Monte Vista Rd
Poway, CA 92064-2529
Mailing address
17185 W Bernardo Dr Unit 207
San Diego, CA 92127-1536
Phone (858) 776-1867
Other practice location 1
2987 Coronado Ave
San Diego, CA 92154-2180
Phone (619) 429-5959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103155 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1790269348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17185 W BERNARDO DR UNIT 207",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271536",
"telephone_number": "858-776-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12705 MONTE VISTA RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920642529",
"telephone_number": "858-487-8090"
}
],
"practiceLocations": [
{
"address_1": "2987 Coronado Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921542180",
"country_code": "US",
"telephone_number": "619-429-5959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTE",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.