Maria Gultom, - Medicare Nurse Practitioner in Los Angeles, CA

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Maria Gultom, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Los Angeles, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Regents Of The University Of California and her current practice location is 100 Ucla Medical Plz Ste 630, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 794-1276.

Maria Gultom is licensed to practice in California (license number 95002729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013391358.

Contact Information

Maria Gultom,
100 Ucla Medical Plz Ste 630,
Los Angeles, CA 90024-6997
(310) 794-1276
Not Available

Map and Direction




Provider's Profile

Full NameMaria Gultom
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location100 Ucla Medical Plz Ste 630, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maria Gultom graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1013391358
  • Provider Enumeration Date: 07/16/2015
  • Last Update Date: 07/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587960018
  • Enrollment ID: I20161215001824

Medical Identifiers

Medical identifiers for Maria Gultom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013391358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95002729 (California)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 95002729 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ronald Reagan Ucla Medical CenterLos angeles, CAHospital
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Regents Of The University Of California387057357923

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maria Gultom allows following entities to bill medicare on her behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912963232
PECOS PAC ID: 3870573579
Enrollment ID: O20040722001316

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maria Gultom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maria Gultom,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: (310) 267-9536		Maria Gultom,
100 Ucla Medical Plz Ste 630,
Los Angeles, CA 90024-6997

Ph: (310) 794-1276

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.