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LORAINE MERAZ GUTIERREZ MD
NPI 1093863029
Family Medicine in San Diego, CA

Active since January 08, 2007PECOS Enrolled
4060 FAIRMOUNT AVE, FAMILY PRACTICE DEPARTMENT, SAN DIEGO, CA 92105(619) 255-9155(619) 795-9849 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2023, Feb 22, 2019 (2 updates tracked since 2019).

About Loraine Meraz Gutierrez Md NPPES

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

LORAINE MERAZ GUTIERREZ MD (NPI 1093863029) is an individual family medicine provider in San Diego, California, licensed in California (G64798) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093863029
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORAINE MERAZ GUTIERREZCredential: MD
Location Address4060 FAIRMOUNT AVE, FAMILY PRACTICE DEPARTMENTSan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 584-1612
Phone(619) 255-9155
Fax(619) 795-9849
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1093863029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G64798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4060 FAIRMOUNT AVE, San Diego, CA 92105
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Other Identifiers 1

Other1066105895American Board Of Family Medicine

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loraine Meraz Gutierrez 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 Loraine Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Maestra Family Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
4060 FAIRMOUNT AVE
San Diego, CA 92105
  • Reassigned Medicare billing, California enrollment
  • 102 clinicians in this Medicare group
NPI 1609849074 (619) 280-4213

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 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

DR. DORA DOAN O.D.
Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 961-0803
DIANA P ALVAREZ MSW
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 295-6047
ANTOINETTE KIM LIEU PHARMD
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-7013
KALEELAH RAE, NAJA MUHAMMAD
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213
DR. ADLA TESSIER M.D.
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
San Diego County (619) 255-9155
CYNTHIA MIRANDA PSYD
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-8765
TONYA DANIELLE DANIEL LCSW
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612
SAMANTHA GOGGIN MD
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 255-9154

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 Loraine Gutierrez's NPI number?

The NPI number for Loraine Gutierrez is 1093863029. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Loraine Gutierrez located?

Loraine Gutierrez practices at 4060 Fairmount Ave Family Practice Department, San Diego, CA 92105. The listed phone number is (619) 255-9155.

What is Loraine Gutierrez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Loraine Gutierrez enrolled in Medicare?

Yes. Loraine Gutierrez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loraine Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loraine Gutierrez reassigns Medicare benefits to La Maestra Family Clinic, Inc. (San Diego, 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 Loraine 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 Loraine Gutierrez was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.