GUTIERREZ CHIROPRACTIC MANAGEMENT INCORPORATED
NPI 1457100281
Chiropractor in San Pedro, CA

Q: What is Gutierrez Chiropractic Management Incorporated's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since May 14, 2024

28122 S WESTERN AVE, SAN PEDRO, CA 90732(310) 935-2470 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gutierrez Chiropractic Management Incorporated NPPES

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

GUTIERREZ CHIROPRACTIC MANAGEMENT INCORPORATED (NPI 1457100281) is a healthcare organization registered as a chiropractor in San Pedro, California and active in the NPI registry since May 2024. The organization lists Mark Gutierrez, President, as its authorized official.

NPPES Registry Identity

NPI1457100281

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGUTIERREZ CHIROPRACTIC MANAGEMENT INCORPORATED

Location Address28122 S WESTERN AVESan Pedro, CA 90732-1248

Mailing Address28122 S Western AveSan Pedro, CA 90732-1248 · (310) 935-2470

Phone(310) 935-2470

Organization SubpartNo

Authorized OfficialMark GutierrezPresident · (702) 373-9341

Enumeration DateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1457100281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

28122 S WESTERN AVE, San Pedro, CA 90732

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gutierrez Chiropractic Management Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gutierrez Chiropractic Management Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Gutierrez, DC

Chiropractic

NPI 1114357969

13732 NEWPORT AVE STE 1
Tustin, CA 92780

(714) 406-0242

28 mi

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

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 Gutierrez Chiropractic Management Incorporated's NPI number?

The NPI number for Gutierrez Chiropractic Management Incorporated is 1457100281. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Gutierrez Chiropractic Management Incorporated located?

Gutierrez Chiropractic Management Incorporated is located at 28122 S Western Ave, San Pedro, CA 90732. The listed phone number is (310) 935-2470.

What is Gutierrez Chiropractic Management Incorporated's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gutierrez Chiropractic Management Incorporated enrolled in Medicare?

Yes. Gutierrez Chiropractic Management Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gutierrez Chiropractic Management Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gutierrez Chiropractic Management Incorporated. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gutierrez Chiropractic Management Incorporated was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.