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MAYO HOTTA M.D.
NPI 1962935940
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 06, 2017PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(310) 923-0789 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mayo Hotta M.d. NPPES

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

MAYO HOTTA M.D. (NPI 1962935940) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962935940
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAYO HOTTACredential: M.D.
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Phone(310) 923-0789
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateDecember 3, 2021
✔ NPI 1962935940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayo Hotta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436492220
PECOS Enrollment IDI20251007001188
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.

Medicare Billing Reassignment

Medicare enrollment records show Mayo Hotta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
305 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GABRIELLE BROWN M.D.
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. ERIC RAY WONG DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
SHAINA GANJIAN MD
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
JAMES ZHOU
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (916) 686-7300
DR. BANSARI ASHOKBHAI PATEL DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
ISABEL OJEDA
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. HONG THI THANH DANG M.D.
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. KRISTOPHER ROBERT WARING MD
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430

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 Mayo Hotta's NPI number?

The NPI number for Mayo Hotta is 1962935940. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Mayo Hotta located?

Mayo Hotta practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (310) 923-0789.

What is Mayo Hotta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mayo Hotta enrolled in Medicare?

Yes. Mayo Hotta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mayo Hotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayo Hotta reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Mayo Hotta'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 Mayo Hotta was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.