Mayra Veronica Gutierrez, A.A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA324 Issued in CA

Practice address

4212 Deland Ave
Pico Rivera, CA 90660-1705

Phone

(562) 639-7476

NPI assigned

May 20, 2010

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

Other names 1

• Mayra Veronica Dominguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

State licenses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1962721647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 DELAND AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601705",
            "telephone_number": "562-639-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 DELAND AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601705",
            "telephone_number": "562-639-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MAYRA",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "A.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "DOMINGUEZ",
            "middle_name": "VERONICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Hakimzadeh and Reyhani Dental Office of Pico Rivera Inc
• Andrew Arthur Hall I
• Grace Han, OD

• Occupational Therapy Assistant in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; 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.