Alba Gutierrez, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21695 Issued in CA

Practice address

183 S 5TH St
Brawley, CA 92227-2433

Phone

(760) 344-8100

Fax

(866) 493-3117

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imperial Valley Family Care Medical Group Apc

  • General Practice Physician
  • Imperial, CA
  • NPI 1275581894
  Medicare reassignment NPD
• La Suarez a Professional Corporation

  • Primary Care Clinic/Center
  • Brawley, CA
  • NPI 1841074267
  Medicare reassignment
• Sedro Woolley Emergency Physicians

  • Emergency Medicine Physician
  • Sedro Woolley, WA
  • NPI 1548219785
  NPD (past)
• Washington Em-I Medical Services PC

  • Emergency Medicine Physician
  • Sedro Woolley, WA
  • NPI 1457300691
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1972548535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272408",
            "telephone_number": "760-344-8100",
            "fax_number": "866-493-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S 5TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272433",
            "telephone_number": "760-344-8100",
            "fax_number": "866-493-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Heffernan Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922314718",
            "country_code": "US",
            "telephone_number": "760-344-8100",
            "fax_number": "866-493-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ALBA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004346",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemendra Goyal, PHARM D
• Mariza Goycoolea
• Ajanamjot K Grewal, MD
• Egbert Fitzstephen Grinage Jr., MD
• Vidhi Gupta
• Priscilla Gutierrez, NP
• Susan Junghee Hahm, M.D.
• Michael V Hall, CRNA
• Darius V Halliday, DDS
• Mostafa A Hamdy, MD

• Physician Assistant in Brawley, CA
• Providers in Brawley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.