DAVID GUDINO LCSW 80521
NPI 1104179217
Social Worker - Clinical in Los Angeles, CA
About David Gudino Lcsw 80521 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID GUDINO LCSW 80521 (NPI 1104179217) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW80521) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Gudino Lcsw 80521 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show David Gudino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90014
- Reassigned Medicare billing, California enrollment
- 533 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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 90014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90014
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 David Gudino's NPI number?
The NPI number for David Gudino is 1104179217. It was assigned to this individual provider in the NPPES registry on October 26, 2012.
Where is David Gudino located?
David Gudino practices at 224 E 6th St, Los Angeles, CA 90014. The listed phone number is (213) 650-6300.
What is David Gudino's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is David Gudino enrolled in Medicare?
Yes. David Gudino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Gudino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Gudino reassigns Medicare benefits to 3 organizations: Los Angeles County Department Of Mental Health (Los Angeles, CA), Southern California Permanente Medical Group (Los Angeles, CA) and Grow Healthcare Group PC (San Jose, 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 David Gudino'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 David Gudino was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# David Gudino, LCSW 80521 · NPI 1104179217
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 26, 2012.
## Identity
- **NPI:** 1104179217 (Entity type: Individual)
- **Enumerated:** October 26, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW80521 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 224 E 6TH ST, Los Angeles, CA 90014-2119
- **Phone:** (213) 650-6300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Los Angeles County Department Of Mental Health (NPI 1033310610, Los Angeles, CA); Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104179217) · Data from the CMS NPPES public registry.