MARIA GULTOM – NPI #1013391358
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MARIA GULTOM is a physician located in LOS ANGELES, CA. NPPES has assigned the NPI number 1013391358 to MARIA GULTOM on July 16, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Jul 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIA GULTOM below.

NPI Profile for
MARIA GULTOM

NPI Number
1013391358
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARIA GULTOM
Primary location
100 UCLA MEDICAL PLZ STE 630
LOS ANGELES, CA 90024-6997
Phone: (310) 794-1276 Fax:
2 Other location(s):
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 825-9820
757 Westwood Plz
Suite 7330F
Los Angeles, CA 90095-8358
Phone: (310) 267-9536
Mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone: (310) 267-9536 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 CA 95002729
363LA2100X
- Nurse Practitioner / Acute Care		 CA 95002729

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARIA GULTOM is affiliated with the following medical group(s):
  • HOSPITAL
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.