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ANGELO GUTIERREZ
NPI 1063205672
Nurse Practitioner - Family in Pasadena, CA

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
540 N OAKLAND AVE, PASADENA, CA 91101(615) 766-6711 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angelo Gutierrez NPPES

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

ANGELO GUTIERREZ (NPI 1063205672) is an individual family provider in Pasadena, California, licensed in California (95035225) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063205672
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANGELO GUTIERREZ
Location Address540 N OAKLAND AVEPasadena, CA 91101-1112
Mailing Address540 N Oakland AvePasadena, CA 91101-1112 · (615) 766-6711
Phone(615) 766-6711
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1063205672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95035225
540 N OAKLAND AVE, Pasadena, CA 91101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelo Gutierrez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729594437
PECOS Enrollment IDI20250721001388
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 Angelo Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Johns Community Health
6.6 mi
Federally Qualified Health Center (FQHC)
2512 ALTA ST
Los Angeles, CA 90031
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1932249505 (323) 441-2139

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 91101 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Gutierrez's NPI number?

The NPI number for Angelo Gutierrez is 1063205672. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Angelo Gutierrez located?

Angelo Gutierrez practices at 540 N Oakland Ave, Pasadena, CA 91101. The listed phone number is (615) 766-6711.

What is Angelo Gutierrez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angelo Gutierrez enrolled in Medicare?

Yes. Angelo Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Angelo Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Gutierrez reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelo Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelo Gutierrez was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.