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JUAN RAUL GUTIERREZ M.D.
NPI 1568698090
Pediatrics in Oakland, CA

Active since June 10, 2009PECOS Enrolled
1030 INTERNATIONAL AVE., OAKLAND, CA 94606(415) 476-5001(415) 476-4009 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juan Raul Gutierrez M.d. NPPES

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

JUAN RAUL GUTIERREZ M.D. (NPI 1568698090) is an individual pediatrics provider in Oakland, California, licensed in California (A108242) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568698090
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJUAN RAUL GUTIERREZCredential: M.D.
Location Address1030 INTERNATIONAL AVE.Oakland, CA 94606-3730
Mailing Address1601 Fruitvale Ave.Oakland, CA 94601 · (510) 535-4000 · Fax (510) 535-4128
Phone(415) 476-5001
Fax(415) 476-4009
Sole ProprietorNo
Enumeration DateJune 10, 2009
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1568698090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A108242
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1030 INTERNATIONAL AVE., Oakland, CA 94606
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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)

Juan Raul Gutierrez M.d. 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 Reassignments

2

Medicare enrollment records show Juan Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City & County Of San Francisco - Department Of Public Health
8.2 mi
Mental Health (Including Community Mental Health Center)
1309 EVANS AVENUE
San Francisco, CA 94124
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: City & County Of San Francisco
  • 1,573 clinicians in this Medicare group
NPI 1669691127 (415) 206-7600
University Of California Sfgh Medical Group
8.9 mi
Endocrinology, Diabetes & Metabolism
2540 23RD ST, 2ND FLOOR, ROOM 2110
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 637 clinicians in this Medicare group
NPI 1265407381 (415) 514-9031

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 94606 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Juan Gutierrez's NPI number?

The NPI number for Juan Gutierrez is 1568698090. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Juan Gutierrez located?

Juan Gutierrez practices at 1030 International Ave., Oakland, CA 94606. The listed phone number is (415) 476-5001.

What is Juan Gutierrez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juan Gutierrez enrolled in Medicare?

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

Which organizations bill Medicare for Juan Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Gutierrez reassigns Medicare benefits to 2 organizations: City & County Of San Francisco - Department Of Public Health (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, CA). Each 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 Juan 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 Juan Gutierrez was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.