Monique Autum Gutierrez

Primary specialty

DriverTaxonomy code 172A00000X

License

D5730528 Issued in CA

Practice address

1821 Crenshaw Blvd Apt 203
Los Angeles, CA 90019-6079

Phone

(323) 798-6426

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1821719493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 CRENSHAW BLVD APT 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196079",
            "telephone_number": "323-798-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CRENSHAW BLVD APT 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196079",
            "telephone_number": "323-798-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MONIQUE",
        "middle_name": "AUTUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D5730528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3237986426",
            "affiliation": "N",
            "endpointDescription": "Whats App",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "1821 Crenshaw Blvd Apt 203",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900196079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miguel Angel Gutierrez, MD
• Miracle Gutierrez
• Miriam Gutierrez, PSY.D.
• Mirian Gutierrez
• Monica Gutierrez, MD
• Monique Marie Gutierrez, NP
• Nakisha Gutierrez, OTD, OTR/L
• Nancy Gutierrez
• Natalia Gutierrez, MS, CGC
• Nayelly Ruby Gutierrez, RDA

• Driver in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.