Individual provider Active NPI

Dolly Alviz-Gutierrez, RN

  • Registered Nurse
  • Northridge, CA
National Provider Identifier
1790307536
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
692436 Issued in CA
Practice address
9335 Reseda Blvd Ste 102
Northridge, CA 91324-2977
Phone
(818) 805-7433
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 692436 CA Primary

Addresses

Primary practice location

9335 Reseda Blvd Ste 102
Northridge, CA 91324-2977

Mailing address

20144 Tuba St
Chatsworth, CA 91311-3446
Phone (818) 426-4575

Other identifiers 1

IdentifierTypeStateIssuer
C2097777OtherCACA DRIVERS LICENSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
692436CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
D-Infinity Health & Beauty Essence Inc CurrentSince May 17, 2020 Accepting new patients
DRS Concepts, Incorporated CurrentSince May 17, 2020 Accepting new patients

Locations

9335 Reseda Blvd
Ste 102
Northridge, CA 91324
Phone (818) 426-4575

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1790307536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20144 TUBA ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113446",
            "telephone_number": "818-426-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9335 RESEDA BLVD STE 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242977",
            "telephone_number": "818-805-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIZ-GUTIERREZ",
        "first_name": "DOLLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "692436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVERS LICENSE",
            "identifier": "C2097777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.