Active NPI
Ilianna Gutierrez
- Medical Physician Assistant
- Sacramento, CA
National Provider Identifier
1972324325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- Iliannagutierrez@TPCP.Org
7415 Henrietta Drive
Sacramento, CA 95822 - Phone
- (916) 520-7399
- NPI assigned
- Oct 18, 2024
- Last updated
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | CA | Primary |
Addresses
Primary practice location
Iliannagutierrez@TPCP.Org
7415 Henrietta Drive
Sacramento, CA 95822
Mailing address
Iliannagutierrez@TPCP.Org
7415 Henrietta Drive
Sacramento, CA 95822
Phone (916) 520-7399
Other practice location 1
505 M St, Rio Linda,
Sacramento, CA 95673
Phone (916) 287-4067
Other practice location 2
3440 Viking Dr, Sacramento, 95827 &
Sacramento, CA 95827
Phone (916) 262-8598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1972324325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ILIANNAGUTIERREZ@TPCP.ORG",
"address_2": "7415 HENRIETTA DRIVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95822",
"telephone_number": "916-520-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ILIANNAGUTIERREZ@TPCP.ORG",
"address_2": "7415 HENRIETTA DRIVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95822",
"telephone_number": "916-520-7399"
}
],
"practiceLocations": [
{
"address_1": "505 M St, Rio Linda,",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95673",
"country_code": "US",
"telephone_number": "916-287-4067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3440 Viking Dr, Sacramento, 95827 &",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95827",
"country_code": "US",
"telephone_number": "916-262-8598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ILIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.