Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB STULTZ
NPI 1538800701
Hospitalist in West Hollywood, CA

Q: What is Jacob Stultz's NPI number?

The NPI number for Jacob Stultz is 1538800701. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jacob Stultz's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Stultz was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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 April 05, 2022PECOS Enrolled

8700 BEVERLY BLVD STE B220, WEST HOLLYWOOD, CA 90048(310) 423-5252 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Jul 16, 2026, Apr 5, 2022 (3 updates tracked since 2022).

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About Jacob Stultz NPPES

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

JACOB STULTZ (NPI 1538800701) is an individual hospitalist provider in West Hollywood, California, licensed in California (A190985) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sylmar.

NPPES Registry Identity

NPI1538800701

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJACOB STULTZ

Location Address8700 BEVERLY BLVD STE B220West Hollywood, CA 90048-1804

Mailing Address4140 W 190th St Fl 2Torrance, CA 90504-5513 · (310) 423-5252

Phone(310) 423-5252

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1538800701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A190985

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A190985 (CA)

8700 BEVERLY BLVD STE B220, West Hollywood, CA 90048

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Secondary Practice Location 1

Location 114445 Olive View DrSylmar, CA 91342-1437 · Phone (747) 210-3205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Stultz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

MITALI MEHTA M.D.

Hospitalist