JACK H GUTMAN (NPI# 1578609160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578609160 |
| Entity Type | Individual |
| Full Name | JACK H GUTMAN |
| Credential | D.O. |
| Practice Address |
6200 E Canyon Rim Rd Ste 105b Anaheim CA 92807-4317 |
| Practice Telephone | 7149983627 |
| Mailing Telephone | 7149983627 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
20A4188 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1437451333 | Jack Gutman Do Professional Corp | Clinic/Center | 6200 E Canyon Rim Rd, Ste 105b, Anaheim, CA 92807-4317 | 2010-11-28 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326100199 | Asher Family Care, A Medical Corp | Family Medicine | 1110 W La Palma Ave, Suite 1, Anaheim, CA 92801-2821 | 2006-12-15 |
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| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
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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.