Juan Carlos Gutierrez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

13428 Maxella Ave Ste 913
Marina del Rey, CA 90292-5620

Phone

(424) 272-5238

NPI assigned

Jan 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1811353246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 E 5TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032112",
            "telephone_number": "562-308-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13428 MAXELLA AVE STE 913",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925620",
            "telephone_number": "424-272-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JUAN CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Grinbaum
• Simon Grock, DDS
• Donna Groves, LMFT
• Lisa Ho Guinan, DMD
• Jill Gungap
• Madeline Haas, MD
• Laurel Hack, DPT
• Ali Hadadz, MD
• Sasha Haddad, DO
• Rae L Hadley, PSY.D.

• Behavior Analyst in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.