DR. CARLA COLLINS GORUM MD
NPI 1679560197
Pediatrics in Capitola, CA
About Dr. Carla Collins Gorum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLA COLLINS GORUM MD (NPI 1679560197) is an individual pediatrics provider in Capitola, California, licensed in California (A86939) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Dr. Carla Collins Gorum 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.
Medicare Billing Reassignment
Medicare enrollment records show Carla Gorum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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 95010 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carla Gorum's NPI number?
The NPI number for Carla Gorum is 1679560197. It was assigned to this individual provider in the NPPES registry on September 29, 2005.
Where is Carla Gorum located?
Carla Gorum practices at 1820 41st Ave Suite D, Capitola, CA 95010. The listed phone number is (831) 476-3000.
What is Carla Gorum's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carla Gorum enrolled in Medicare?
Yes. Carla Gorum 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 organization bills Medicare for Carla Gorum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Gorum reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The 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 Carla Gorum'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 Carla Gorum was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Carla Collins Gorum, MD · NPI 1679560197
Pediatrics physician in Capitola, California. Individual provider, active in the CMS NPPES registry since September 29, 2005.
## Identity
- **NPI:** 1679560197 (Entity type: Individual)
- **Enumerated:** September 29, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A86939 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1820 41ST AVE, SUITE D, Capitola, CA 95010-2516
- **Phone:** (831) 476-3000 · **Fax:** (831) 476-9009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Pennsylvania, class of 1997
## Record status
- **NPPES last updated:** November 2, 2012
- **Other identifiers:** Medicare UPIN H23110 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679560197) · Data from the CMS NPPES public registry.