NPIMap

Organization Active NPI

Erasto Gutierrez MD Inc

  • Urgent Care Clinic/Center
  • Pomona, CA
National Provider Identifier
1932987039
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ERASTO GUTIERREZ MD INC
Practice address
1749 N Garey Ave
Pomona, CA 91767-2913
Phone
(909) 729-5079
Fax
(909) 729-5081
NPI assigned
Sep 19, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ERASTO GUTIERREZ MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Archie Trinidad
Title
Manager
Phone
(909) 729-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1749 N Garey Ave
Pomona, CA 91767-2913

Mailing address

1749 N Garey Ave
Pomona, CA 91767-2913
Phone (909) 729-5079

National Provider Directory

National Provider Directory
Tax ID family
Erasto Gutierrez MD Inc3 organizations share this tax ID, including this one
Part of
Erasto Gutierrez MD Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1749 N Garey Ave
Pomona, CA 91767
Phone (909) 622-9988

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1932987039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672913",
            "telephone_number": "909-729-5079",
            "fax_number": "909-729-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672913",
            "telephone_number": "909-729-5079",
            "fax_number": "909-729-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERASTO GUTIERREZ MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERASTO GUTIERREZ MD INC",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-729-5079"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.