Evangelina Gutierrez, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 36097 Issued in CA

Practice address

66 Hurlbut St
Pasadena, CA 91105-4025

Phone

(626) 441-4221

Fax

(626) 799-1246

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By the provider in NPPES

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

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1912287970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 MOUNTAIN AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "91010",
            "telephone_number": "626-827-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HURLBUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054025",
            "telephone_number": "626-441-4221",
            "fax_number": "626-799-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "EVANGELINA",
        "name_prefix": "Miss",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 36097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gutierrez
• Danielle Gutierrez
• Emilsa Raquel Gutierrez
• Erick Gutierrez, BA
• Eva Johana Gutierrez
• Fernando Jose Gutierrez, ED.D.
• Gorety Gutierrez
• Javier Gutierrez II
• Jose L. Gutierrez
• Liliana Gutierrez

• Licensed Psychiatric Technician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.