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DR. JACOB JAMES GUTIERREZ MD
NPI 1902391717
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since June 25, 2018PECOS Enrolled
631A MAPLE AVE, LOS ANGELES, CA 90014(213) 673-3049 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Jun 25, 2018 (2 updates tracked since 2018).

About Dr. Jacob James Gutierrez Md NPPES

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

DR. JACOB JAMES GUTIERREZ MD (NPI 1902391717) is an individual psychiatry provider in Los Angeles, California, licensed in California (A163989) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902391717
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JACOB JAMES GUTIERREZCredential: MD
Location Address631A MAPLE AVELos Angeles, CA 90014-2211
Mailing AddressPo Box 920Artesia, CA 90702-0920 · (213) 673-3084
Phone(213) 673-3049
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1902391717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A163989
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
631A MAPLE AVE, Los Angeles, CA 90014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob James 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90014 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 10

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

DR. MICHAEL RUIZ PSY.D.
Psychologist
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
DR. MELANIE ENGLISH PSB94027775
Psychologist (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3036
FELIX AGUILAR
Rehabilitation Practitioner
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
KEVIN JOSE FERNANDEZ LMFT
Marriage & Family Therapist
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 549-0376
TIFFANY CHEUK
Social Worker (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
THALIA FRANCO
Rehabilitation Practitioner
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
JENNIFER RIVERA
Case Manager/Care Coordinator
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
MISS ANITA M TAKAHASHI MSW, LCSW
Social Worker (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 637-3049

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 Jacob Gutierrez's NPI number?

The NPI number for Jacob Gutierrez is 1902391717. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Jacob Gutierrez located?

Jacob Gutierrez practices at 631A Maple Ave, Los Angeles, CA 90014. The listed phone number is (213) 673-3049.

What is Jacob Gutierrez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacob Gutierrez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Gutierrez was last updated on March 27, 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.