NPIMap

Organization Active NPI

Jorge G. Gutierrez, M.D. a Medical Corporation

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1982879383
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A312330 Issued in CA
Legal business name
JORGE G. GUTIERREZ, M.D. A MEDICAL CORPORATION
Practice address
1100 N Palm Canyon Dr
Ste 105
Palm Springs, CA 92262-4414
Phone
(760) 320-3383
Fax
(760) 325-8546
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mrs. Vangie Lara
Title
Office Manager
Phone
(760) 320-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A312330 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr
Ste 105
Palm Springs, CA 92262-4414

Mailing address

1100 N Palm Canyon Dr
Ste 105
Palm Springs, CA 92262-4414
Phone (760) 320-3383

National Provider Directory

National Provider Directory

Locations

1100 N Palm Canyon Dr
Ste 105
Palm Springs, CA 92262
Phone (760) 320-3383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1982879383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR",
            "address_2": "STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624414",
            "telephone_number": "760-320-3383",
            "fax_number": "760-325-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR",
            "address_2": "STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624414",
            "telephone_number": "760-320-3383",
            "fax_number": "760-325-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE G. GUTIERREZ, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "VANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-320-3383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A312330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.