EUTIQUIO GUTIERREZ (DO) – Internal Medicine Physician, NPI 1245790286

EUTIQUIO GUTIERREZ (DO) is a healthcare provider. based in Pomona, California. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 20A19593 (CA). The NPI Number for EUTIQUIO GUTIERREZ (DO) is 1245790286

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
EUTIQUIO GUTIERREZ (DO)
NPI
1245790286
Phone
Not provided
Address
1107 TORINO PL
Enumeration Date
25 March 2019
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
7149991465
Graduation Year
2019 (7 years ago)
PAC ID
1052702784
Group Practice PAC ID
6608819594
Professional Enrollment ID
I20250430003106
Address ID
CA928011824AN1801XDRXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for EUTIQUIO GUTIERREZ (DO)

  • 1107, Torino Place, Pomona, Los Angeles County, California, 91766, United States

    POMONA, CA 917661129

    Phone:

    Type: Mailing

  • West Carson Street, Harbor Gateway, Torrance, Los Angeles County, California, 90501, United States

    TORRANCE, CA 905022004

    Phone: (310) 222-2345

    Type: Location

  • 541 W COLORADO ST STE 205

    GLENDALE, CA 912043640

    Phone: (323) 254-0046

    Type: Mailing

  • 1801 W ROMNEYA DR STE 203

    ANAHEIM, CA 928011824

    Phone: (714) 999-1465

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($105).

Total Amount

$247

General + Research + Ownership

Payments

9

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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: 2025-04-30

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
I20250430003106IInternal MedicineCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91766)

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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: 6608819594View full group profile
NameSpecialtyState
Gynecological OncologyCA
Medical OncologyCA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Hematology/Oncology, Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
Gynecological OncologyPA
Gynecological Oncology, Obstetrics/GynecologyCA
H E M A T O L O G Y/ O N C O L O G YCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to EUTIQUIO GUTIERREZ (DO)?
NPI 1245790286 is assigned to EUTIQUIO GUTIERREZ (DO) under the national enumeration system.
Is EUTIQUIO GUTIERREZ (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is EUTIQUIO GUTIERREZ (DO)?
The page reflects Internal Medicine Physician for EUTIQUIO GUTIERREZ (DO). Clinical services aligned with this taxonomy classification.
Where is EUTIQUIO GUTIERREZ (DO)'s primary listing?
We display Pomona, California because that is what the record indicates for EUTIQUIO GUTIERREZ (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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