MONICA GUMA M.D., PH.D.
NPI 1346522141
Internal Medicine - Rheumatology in La Jolla, CA

Q: What is Monica Guma's NPI number?

The NPI number for Monica Guma is 1346522141. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Q: What is Monica Guma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Monica Guma was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 16, 2011PECOS EnrolledAccepts Medicare Assignment

9500 GILMAN DRIVE, LA JOLLA, CA 92093(858) 642-3247(858) 552-7425 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Monica Guma M.d., Ph.d. NPPES

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

MONICA GUMA M.D., PH.D. (NPI 1346522141) is an individual rheumatology provider in La Jolla, California, licensed in California (A126993) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1346522141

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameMONICA GUMACredential: M.D., PH.D.

Location Address9500 GILMAN DRIVELa Jolla, CA 92093

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(858) 642-3247

Fax(858) 552-7425

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 16, 2011

Last NPPES UpdateMay 7, 2018

✔ NPI 1346522141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in CA · A126993

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

9500 GILMAN DRIVE, La Jolla, CA 92093

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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

Monica Guma M.d., Ph.d. 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 ID8426288531

PECOS Enrollment IDI20140310001906

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

CRYSTAL QUINTERO-AHUMADA

Student in an Organized Health Care Education/Training Program

9500 GILMAN DRIVE, MAIL CODE 0602
LA JOLLA, CA 92093

San Diego County (858) 534-2230

VANESSA YANG M.S., ATC

Specialist/Technologist (Athletic Trainer)

9500 GILMAN DRIVE, UNIVERSITY OF CALIFORNIA, SAN DIEGO
LA JOLLA, CA 92093

San Diego County (858) 822-6747

UC SAN DIEGO STUDENT HEALTH SERVICE PHARMACY

Clinic/Center (Student Health)

9500 GILMAN DRIVE
LA JOLLA, CA 92093

San Diego County (858) 534-2135

DR. KENNETH QUINTO M.D.

Internal Medicine (Allergy & Immunology)

9500 GILMAN DRIVE
LA JOLLA, CA 92093

San Diego County (619) 543-6248

UCSD STUDENT HEALTH SERVICES

Clinic/Center (Student Health)

9500 GILMAN DRIVE
LA JOLLA, CA 92093

San Diego County (858) 534-3300

UCSD MED-CYTOGENETICS

Clinical Medical Laboratory

9500 GILMAN DRIVE, MAIL CODE 0639
LA JOLLA, CA 92093

San Diego County (858) 534-4308

DR. THEODORE FRIEDMANN M.D.

General Acute Care Hospital (Children)

9500 GILMAN DRIVE
LA JOLLA, CA 92093

San Diego County (858) 534-4268

KRISTIN CADENHEAD MD

Psychiatry & Neurology (Psychiatry)

9500 GILMAN DRIVE
LA JOLLA, CA 92093

San Diego County (619) 725-3537

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 Monica Guma's NPI number?

The NPI number for Monica Guma is 1346522141. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Monica Guma located?

Monica Guma practices at 9500 Gilman Drive, La Jolla, CA 92093. The listed phone number is (858) 642-3247.

What is Monica Guma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Monica Guma enrolled in Medicare?

Yes. Monica Guma 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 Monica Guma was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.