SOFIA GAMBUTO MD
NPI 1225696206
Emergency Medicine in Whittier, CA

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
12401 WASHINGTON BLVD, WHITTIER, CA 90602(562) 698-0811(562) 945-5283 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2023, Jun 4, 2019 (2 updates tracked since 2019).

About Sofia Gambuto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA GAMBUTO MD (NPI 1225696206) is an individual emergency medicine provider in Whittier, California, licensed in California (A185837) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Tufts University School Of Medicine (2019).

NPPES Registry Identity

NPI1225696206
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSOFIA GAMBUTOCredential: MD
Location Address12401 WASHINGTON BLVDWhittier, CA 90602-1006
Mailing Address750 N Alfred St Apt 3Los Angeles, CA 90069-5341 · (646) 584-2195
Fax(562) 945-5283
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2019
Enumeration DateJune 4, 2019
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1225696206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A185837
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.074445 (IL)
12401 WASHINGTON BLVD, Whittier, CA 90602

Secondary Practice Locations 2

Location 1750 N Alfred St Apt 3Los Angeles, CA 90069-5341 · Phone (646) 584-2195
Location 21969 W Ogden AveChicago, IL 60612-3765 · Phone (312) 864-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sofia Gambuto Md 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.

PECOS PAC ID8527493824
PECOS Enrollment IDI20230901000541
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Internal Medicine
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Emergency Medicine
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Registered Nurse
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Physician Assistant
12401 WASHINGTON BLVD
WHITTIER, CA 90602
General Acute Care Hospital
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Pediatrics (Neonatal-Perinatal Medicine)
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Nurse Practitioner (Family)
12401 WASHINGTON BLVD
WHITTIER, CA 90602

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 Sofia Gambuto's NPI number?

The NPI number for Sofia Gambuto is 1225696206. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Sofia Gambuto located?

Sofia Gambuto practices at 12401 Washington Blvd, Whittier, CA 90602. The listed phone number is (562) 698-0811.

What is Sofia Gambuto's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sofia Gambuto enrolled in Medicare?

Yes. Sofia Gambuto 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.

When was this NPI record last updated?

The NPPES record for Sofia Gambuto was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.