MARIA GULTOM
NPI 1013391358
Internal Medicine - Cardiovascular Disease in Los Angeles, CA
About Maria Gultom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA GULTOM (NPI 1013391358) is an individual cardiovascular disease provider in Los Angeles, California, licensed in California (95002729) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maria Gultom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Maria Gultom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maria Gultom's NPI number?
The NPI number for Maria Gultom is 1013391358. It was assigned to this individual provider in the NPPES registry on July 16, 2015.
Where is Maria Gultom located?
Maria Gultom practices at 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024. The listed phone number is (310) 794-1276.
What is Maria Gultom's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Maria Gultom enrolled in Medicare?
Yes. Maria Gultom is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Maria Gultom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Gultom reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Los Angeles, CA) and The Regents Of The University Of California (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Gultom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maria Gultom was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maria Gultom · NPI 1013391358
Cardiovascular Disease physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 16, 2015.
## Identity
- **NPI:** 1013391358 (Entity type: Individual)
- **Enumerated:** July 16, 2015
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 95002729 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 UCLA MEDICAL PLZ STE 630, Los Angeles, CA 90024-6997
- **Phone:** (310) 794-1276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); The Regents Of The University Of California (NPI 1912963232, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1013391358) · Data from the CMS NPPES public registry.