JIMENA GUTIERREZ RIVERA MD
NPI 1053110049
Pediatrics in Tulare, CA

Q: What is Jimena Gutierrez Rivera's NPI number?

The NPI number for Jimena Gutierrez Rivera is 1053110049. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Q: What is Jimena Gutierrez Rivera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 11, 2025PECOS Enrolled

1134 E CARTMILL AVE, TULARE, CA 93274(559) 686-9097 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jimena Gutierrez Rivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMENA GUTIERREZ RIVERA MD (NPI 1053110049) is an individual pediatrics provider in Tulare, California, licensed in California (P210001) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053110049

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJIMENA GUTIERREZ RIVERACredential: MD

Location Address1134 E CARTMILL AVETulare, CA 93274-9610

Mailing Address1134 E Cartmill AveTulare, CA 93274-9610 · (559) 686-9097

Phone(559) 686-9097

Sole ProprietorYes

Enumeration DateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1053110049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · P210001

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1134 E CARTMILL AVE, Tulare, CA 93274

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jimena Gutierrez Rivera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jimena Gutierrez Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Altura Centers For Health

Same address

Federally Qualified Health Center (FQHC)

1134 E CARTMILL AVE
Tulare, CA 93274

Reassigned Medicare billing, California enrollment
48 clinicians in this Medicare group

NPI 1629835426 (559) 686-9097

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABRAHAM N BETRE MD, INC

Obstetrics & Gynecology