Active NPI
Gustavo Gutierrez, CRNA
- Certified Registered Nurse Anesthetist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 553198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3073 | CA | MD | Speech-Language Assistant |
| 553198 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vasa Anesthesia Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sky Anesthesia Inc. | Current | Accepting new patients | |
| Reekeshrpatelmd Inc | Current | Accepting new patients | |
| Morpheus Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Hawthorne, CA
- NPI 1962050401
-
- Certified Registered Nurse Anesthetist
- Chino, CA
- NPI 1356108831
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Colton, CA
- NPI 1023529591
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Hawthorne, CA
- NPI 1225493356
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1982115457
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.