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GILBERTO BULTRON M.D.
NPI 1972705259
Pediatrics in Mission Hills, CA

Active since May 31, 2007PECOS Enrolled
11333 N SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 869-7200(818) 837-5741 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2019, Aug 12, 2016 (2 updates tracked since 2016).

About Gilberto Bultron M.d. NPPES

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

GILBERTO BULTRON M.D. (NPI 1972705259) is an individual pediatrics provider in Mission Hills, California, licensed in California (A106843) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972705259
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGILBERTO BULTRONCredential: M.D.
Location Address11333 N SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Phone(818) 869-7200
Fax(818) 837-5741
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
✔ NPI 1972705259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A106843
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License A106843 (CA)
11333 N SEPULVEDA BLVD, Mission Hills, CA 91345
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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)

Gilberto Bultron M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gilberto Bultron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles
1.4 mi
Clinic/Center
1212 PICO ST
San Fernando, CA 91340
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1316953532 (818) 837-6969
Providence Facey Medical Foundation
11 mi
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1710031588 (661) 222-2600

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 91345 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.

DR. SATENIK MELKUMYAN O.D.
Optometrist
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7269
SAMUEL M NYAMU M.D.
Internal Medicine
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7248
YILING CHEN PA
Physician Assistant
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7200
DR. RAFAEL E LI JIMENEZ M.D.
Pediatrics
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7253
VICTORIA MARQUEZ NP
Nurse Practitioner (Family)
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7254
SILPA YALAMANCHI M.D.
Hospitalist
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (877) 634-3196
RABIA A MALIK M.D.
Family Medicine (Geriatric Medicine)
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7254
DR. ELHAM SIMAN M.D.
Family Medicine
11333 N SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7200

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 Gilberto Bultron's NPI number?

The NPI number for Gilberto Bultron is 1972705259. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Gilberto Bultron located?

Gilberto Bultron practices at 11333 N Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 869-7200.

What is Gilberto Bultron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gilberto Bultron enrolled in Medicare?

Yes. Gilberto Bultron is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gilberto Bultron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberto Bultron reassigns Medicare benefits to 2 organizations: County Of Los Angeles (San Fernando, CA) and Providence Facey Medical Foundation (Valencia, CA). Each 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 Gilberto Bultron'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 Gilberto Bultron was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.