MARK GUTIERREZ DC
NPI 1114357969
Chiropractor in Tustin, CA
About Mark Gutierrez Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK GUTIERREZ DC (NPI 1114357969) is an individual chiropractor in Tustin, California, licensed in California (DC32691) and active in the NPI registry since November 2013. He is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Gutierrez Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Pedro, CA 90732
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Gutierrez's NPI number?
The NPI number for Mark Gutierrez is 1114357969. It was assigned to this individual provider in the NPPES registry on November 14, 2013.
Where is Mark Gutierrez located?
Mark Gutierrez practices at 13732 Newport Ave Ste 1, Tustin, CA 92780. The listed phone number is (714) 406-0242.
What is Mark Gutierrez's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mark Gutierrez enrolled in Medicare?
Yes. Mark Gutierrez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gutierrez reassigns Medicare benefits to Gutierrez Chiropractic Management Incorporated (San Pedro, 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 Mark 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 Mark Gutierrez was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mark Gutierrez, DC · NPI 1114357969
Chiropractor provider in Tustin, California. Individual provider, active in the CMS NPPES registry since November 14, 2013.
## Identity
- **NPI:** 1114357969 (Entity type: Individual)
- **Enumerated:** November 14, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC32691 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13732 NEWPORT AVE STE 1, Tustin, CA 92780-4698
- **Phone:** (714) 406-0242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Gutierrez Chiropractic Management Incorporated (NPI 1457100281, San Pedro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114357969) · Data from the CMS NPPES public registry.