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JERALDINE MEDINA GUTIERREZ MASTER OF ARTS
NPI 1255952024
Speech-Language Pathologist in Oakland, CA

Active since May 02, 2020
2780 26TH AVE, OAKLAND, CA 94601(510) 536-1838 Get Directions Write a Review

NPPES record last updated: May 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeraldine Medina Gutierrez Master Of Arts NPPES

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

JERALDINE MEDINA GUTIERREZ MASTER OF ARTS (NPI 1255952024) is an individual speech-language pathologist provider in Oakland, California, licensed in California (14439) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1255952024
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJERALDINE MEDINA GUTIERREZCredential: MASTER OF ARTS
Location Address2780 26TH AVEOakland, CA 94601-1911
Mailing Address5612 Monaghan WayAntioch, CA 94531-8671 · (925) 437-8828
Phone(510) 536-1838
Sole ProprietorNo
Enumeration DateMay 2, 2020
NPPES CertifiedMay 2, 2020
✔ NPI 1255952024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 14439
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2780 26TH AVE, Oakland, CA 94601
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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 (PECOS)

Jeraldine Medina Gutierrez Master Of Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Permanente Medical Group Inc
12 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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 15

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

MAGGIE TAPPITAKE
Occupational Therapist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
FAIMAIN CHOW
Speech-Language Pathologist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
MRS. BETHANY ALICE KEENER M.S., OTR/L
Occupational Therapist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
ANGELA QI
Speech-Language Pathologist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
GIOVANNI PIGUING DPT
Physical Therapist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
HAO-TING GRACE WU OTR/L
Occupational Therapist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 533-3632
MS. MARISA WARNER COTA/L
Occupational Therapy Assistant
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838
MARK MCGINNIS PT
Physical Therapist
2780 26TH AVE
OAKLAND, CA 94601
Alameda County (510) 536-1838

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 Jeraldine Gutierrez's NPI number?

The NPI number for Jeraldine Gutierrez is 1255952024. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Jeraldine Gutierrez located?

Jeraldine Gutierrez practices at 2780 26th Ave, Oakland, CA 94601. The listed phone number is (510) 536-1838.

What is Jeraldine Gutierrez's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jeraldine Gutierrez enrolled in Medicare?

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

Which organization bills Medicare for Jeraldine Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeraldine Gutierrez reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 Jeraldine 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 Jeraldine Gutierrez was last updated on May 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.