Individual provider Active NPI

Celia Gutierrez, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1861796609
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21326 Issued in CA
Practice address
2222 S Main St
Santa Ana, CA 92707-3220
Phone
(714) 542-1331
Fax
(714) 542-4758
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21326 CA Primary

Addresses

Primary practice location

2222 S Main St
Santa Ana, CA 92707-3220

Mailing address

1140 W la Veta Ave
Ste 700
Orange, CA 92868-4229
Phone (714) 547-5404

Other names 1

  • Celia Espinoza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000086 CA Practitioner - Physician Assistant 1951560523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pavilion Family Physicians Medical Group IncGroup PAC ID 5294788030, 9 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 700
Orange, CA 92868-4229
Phone (714) 547-5404

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21326CAMDPhysician Assistant
21326CAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: celia.gutierrez.p22@direct.monarchhealthcare.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1861796609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE 700",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684229",
            "telephone_number": "714-547-5404",
            "fax_number": "714-547-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073220",
            "telephone_number": "714-542-1331",
            "fax_number": "714-542-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CELIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "ESPINOZA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.