DR. ROLANDO GUTIERREZ (M.D.) – Family Medicine Physician, NPI 1104841212

DR. ROLANDO GUTIERREZ (M.D.) is a healthcare provider. based in Temecula, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A93879 (CA). The NPI Number for DR. ROLANDO GUTIERREZ (M.D.) is 1104841212

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROLANDO GUTIERREZ (M.D.)
NPI
1104841212
Phone
(951) 676-4193
Address
28780 SINGLE OAK DR
Enumeration Date
12 July 2006
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516764193
Graduation Year
2001 (25 years ago)
PAC ID
5092713677
Group Practice PAC ID
6305741240
Professional Enrollment ID
I20061114000366
Address ID
CA925905528TE28780DRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. ROLANDO GUTIERREZ (M.D.)

  • 28780, Single Oak Drive, Mission Village, Rancho California, Temecula, Riverside County, California, 92590, United States

    STE 160

    TEMECULA, CA 925905528

    Phone: (951) 676-4193

    Fax: (951) 225-6865

    Type: Mailing

  • 30420, Haun Road, Menifee, Riverside County, California, 92584, United States

    MENIFEE, CA 925846810

    Phone: (951) 676-4193

    Fax: (951) 225-6865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,296.

Total Amount is formed as General ($1,296) + Research ($0) + Ownership ($0) = $1,296.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($216).

Total Amount

$1,296

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061114000366IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1,009244$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes202175$0
99214Established patient office or other outpatient visit, 30-39 minutes13694$0
99213Established patient office or other outpatient visit, 20-29 minutes11787$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
View full utilization report →

Insurance plans in this area (ZIP 92590)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305741240View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCA
Family PracticeCA
-CA
-CA
Nurse PractitionerCA
-CA
Sports Medicine, Family PracticeCA
Family PracticeCA
Family Practice, Geriatric MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ROLANDO GUTIERREZ (M.D.)'s NPI?
Yes. DR. ROLANDO GUTIERREZ (M.D.) is listed with NPI 1104841212 in the public NPI dataset.
Can I rely on DR. ROLANDO GUTIERREZ (M.D.) being an active provider?
As of the registry snapshot, DR. ROLANDO GUTIERREZ (M.D.) is marked active.
What is DR. ROLANDO GUTIERREZ (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. ROLANDO GUTIERREZ (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. ROLANDO GUTIERREZ (M.D.) based?
DR. ROLANDO GUTIERREZ (M.D.) is tied to Temecula, California in the data we show; additional addresses may exist on the full record.
Is the information about DR. ROLANDO GUTIERREZ (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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