Individual provider Active NPI

Gustavo Gutierrez, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Ana, CA
National Provider Identifier
1841470754
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
553198 Issued in CA
Practice address
902 N Grand Ave Ste 100
Santa Ana, CA 92701-4223
Phone
(310) 386-6718
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 553198 CA Primary

Addresses

Primary practice location

902 N Grand Ave Ste 100
Santa Ana, CA 92701-4223

Mailing address

PO Box 3504
Tustin, CA 92781-3504
Phone (310) 386-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130228000060 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991853566 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3073CAMDSpeech-Language Assistant
553198CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Vasa Anesthesia Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2025 Accepting new patients
Sky Anesthesia Inc. CurrentSince Jun 9, 2023 Accepting new patients
Reekeshrpatelmd Inc CurrentSince Jun 9, 2023 Accepting new patients
Morpheus Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2024 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Past Accepting new patients

Locations

5020 Commerce Dr
Bakersfield, CA 93309

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

8741 Alden Dr
Ste C
Los Angeles, CA 90048
Phone (323) 693-8832

8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

3410 La Sierra Ave
Ste F510
Riverside, CA 92503
Phone (909) 227-5139

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

12441 Hesperia Rd
#A5
Victorville, CA 92395
Phone (760) 465-1329

906 Sycamore Ave
Ste 100
Vista, CA 92081
Phone (858) 550-0330

Organizations & group practices 5

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1841470754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3504",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927813504",
            "telephone_number": "310-386-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N GRAND AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014223",
            "telephone_number": "310-386-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GUSTAVO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "553198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.