Benjamin Daniel Gutierrez
Individual provider Active NPI Day Training/Habilitation Specialist · Mojave, CA
NPI 1932913233 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1932913233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 16940 Highway 14 Ste 7
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- Fax
- (661) 824-5026
- NPI assigned
- Feb 5, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste 7
Mojave, CA 93501-1238
Mailing address
16940 Highway 14 Ste 7
Mojave, CA 93501-1238
Phone (661) 824-5020
Other providers in Mojave, CA
- Elizabeth Gomez
- Renee D Gonzales
- Odilia Gonzalez Orellana
- Daniel Erik Grass
- Erin Frances Griesser
- Janina Destiny Gutierrez
- Austin Haberman
- John Darrell Haenny III
- Sabrina L Hall
- Sarah Hanlin
All providers in Mojave, CA · Day Training/Habilitation Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.