JACK GUTMAN DO PROFESSIONAL CORP (NPI# 1437451333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437451333 |
| Entity Type | Organization |
| Organization Name | JACK GUTMAN DO PROFESSIONAL CORP |
| Practice Address |
6200 E Canyon Rim Rd Ste 105b Anaheim CA 92807-4317 |
| Practice Telephone | 7149983627 |
| Practice Fax Number | 7149981895 |
| Mailing Telephone | 7149983627 |
| Mailing Fax Number | 7149981895 |
| Enumeration Date | 2010-11-28 |
| Last Update Date | 2010-11-28 |
| Authorized Official Name | JACK H GUTMAN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7149983627 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A4188 | CA | Ambulatory Health Care Facilities |
| Street Address |
6200 E CANYON RIM RD STE 105B |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947788 | Renee Frances Rinard | Physical Therapist | 6200 E Canyon Rim Rd, Suite 113e, Anaheim, CA 92807-4317 | 2017-01-03 |
| 1952769663 | Cynthia Miller | Kinesiotherapist | 6200 E Canyon Rim Rd, Anaheim, CA 92807-4317 | 2016-02-09 |
| 1710396437 | Ruth Mulligan | Massage Therapist | 6200 E Canyon Rim Rd, Suite 212, Anaheim, CA 92807-4317 | 2014-08-06 |
| 1720406911 | Elisabeth Yoon-jong Choi | Acupuncturist | 6200 E Canyon Rim Rd, Suite 109d, Anaheim, CA 92807-4317 | 2014-04-03 |
| 1275950909 | Doctors of California Inc | Clinic/Center | 6200 E Canyon Rim Rd, Ste 105b, Anaheim, CA 92807-4317 | 2014-03-19 |
| 1679827588 | Corine Michele Charm | Marriage & Family Therapist | 6200 E Canyon Rim Rd, 205c, Anaheim, CA 92807-4317 | 2012-10-30 |
| 1831456326 | Nicole Ann Garcia | Non-Pharmacy Dispensing Site | 6200 E Canyon Rim Rd, Suite 105b, Anaheim, CA 92807-4317 | 2012-04-20 |
| 1164798401 | Anaheim Hills Family Optometry Inc | Optometrist | 6200 E Canyon Rim Rd, Ste 101, Anaheim, CA 92807-4317 | 2012-03-30 |
| 1205138963 | Ingrid Williams | Specialist | 6200 E Canyon Rim Rd, #113e, Anaheim, CA 92807-4317 | 2010-11-30 |
| 1588993000 | Susan Lynn Martin | Marriage & Family Therapist | 6200 E Canyon Rim Rd, 211e, Anaheim, CA 92807-4317 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124519855 | Lizarraga Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St Ste 104, Anaheim, CA 92802-3141 | 2018-05-30 |
| 1558636548 | John Stouffer Md Inc | Clinic/Center | 3010 W Orange Ave Ste 501, Anaheim, CA 92804-3174 | 2012-03-09 |
| 1326355173 | Reyes Medical Associates, Inc | Clinic/Center | 408 S Beach Blvd Ste 111, Anaheim, CA 92804-1866 | 2010-08-31 |
| 1699098897 | Judy A. Losco, D.o.; Inc. | Clinic/Center | 500 S Anaheim Hills Rd Ste 102, Anaheim, CA 92807-4761 | 2010-03-03 |
| 1124296496 | L. Mayela Saenz, M.d., Inc | Clinic/Center | 1203 N Euclid St, Anaheim, CA 92801-1954 | 2008-02-20 |
| 1902080427 | West Anaheim Family Physicians, Inc. | Clinic/Center | 3055 W Orange Ave Ste 205, Anaheim, CA 92804-3154 | 2007-12-19 |
| 1275940736 | Dennis R. Downs M.d. Inc. | Clinic/Center | 200 N Harbor Blvd, Suite 100, Anaheim, CA 92805-2510 | 2014-07-16 |
| 1275950909 | Doctors of California Inc | Clinic/Center | 6200 E Canyon Rim Rd, Ste 105b, Anaheim, CA 92807-4317 | 2014-03-19 |
| 1306276704 | William J Kopelman Inc | Clinic/Center | 3010 W Orange Ave, Suite 503, Anaheim, CA 92804-3169 | 2013-11-21 |
| 1679824429 | Clinica Medica Mi Pueblo, Medical Clinic,inc | Clinic/Center | 500 N Anaheim Blvd, Anaheim, CA 92805-2647 | 2012-09-19 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.