Individual provider Active NPI

Janet Gutierrez, COTA/L

  • Occupational Therapy Assistant
  • Walnut, CA
National Provider Identifier
1801658307
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A6022 Issued in CA
Practice address
18800 Amar Rd Ste B5B6
Walnut, CA 91789-4166
Phone
(626) 667-7837
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A6022 CA Primary

Addresses

Primary practice location

18800 Amar Rd Ste B5B6
Walnut, CA 91789-4166

Mailing address

10801 Lemon Ave Apt 1726
Rancho Cucamonga, CA 91737-3840
Phone (626) 433-7843

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

LicenseStateTypeSpecialty
A6022CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered for Life, Inc. CurrentSince Feb 4, 2024 Accepting new patients

Locations

18800 Amar Rd
Ste B5
Walnut, CA 91789
Phone (626) 667-7837

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1801658307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LEMON AVE APT 1726",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373840",
            "telephone_number": "626-433-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE B5B6",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894166",
            "telephone_number": "626-667-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JANET",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "A6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.