Miguel Angel Gutierrez, MD - Medicare Dermatology in Los Angeles, CA

Miguel Angel Gutierrez, MD is a medicare enrolled "Dermatology" physician in Los Angeles, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Providence Medical Institute and his current practice location is 200 Medical Plaza, #450, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-0631.

Miguel Angel Gutierrez is licensed to practice in California (license number A91383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528092418.

Contact Information

Miguel Angel Gutierrez, MD
200 Medical Plaza, #450,
Los Angeles, CA 90095-3075
(310) 825-0631
Not Available

Map and Direction




Physician's Profile

Full NameMiguel Angel Gutierrez
GenderMale
SpecialityDermatology
Experience23 Years
Location200 Medical Plaza, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miguel Angel Gutierrez graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1528092418
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981622297
  • Enrollment ID: I20051104000613

Medical Identifiers

Medical identifiers for Miguel Angel Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528092418NPI-NPPES
00A913830MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A91383 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Institute5991609737290

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miguel Angel Gutierrez allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417915760
PECOS PAC ID: 5991609737
Enrollment ID: O20031121000910

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miguel Angel Gutierrez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miguel Angel Gutierrez, MD
5767 W. Century Blvd, #400,
Los Angeles, CA 90045-5655

Ph: (310) 825-0631
Miguel Angel Gutierrez, MD
200 Medical Plaza, #450,
Los Angeles, CA 90095-3075

Ph: (310) 825-0631

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.