MARIA GULTOM – Cardiovascular Disease Physician, NPI 1013391358
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MARIA GULTOM
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone: (310) 267-9536
Type: Mailing
100 UCLA MEDICAL PLZ STE 630
LOS ANGELES, CA 900246997
Phone: (310) 794-1276
Type: Location
757 Westwood Plz
Suite 7330F
Los Angeles, CA 900958358
Phone: (310) 267-9536
Type: Location
10833 Le Conte Ave
Los Angeles, CA 900953075
Phone: (310) 825-9820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,026.
Total Amount is formed as General ($1,026) + Research ($0) + Ownership ($0) = $1,026.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($643).
Total Amount
$1,026
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,026
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $643 |
| Medtronic, Inc. | $197 |
| ABBVIE INC. | $99 |
| Abbott Laboratories | $47 |
| Ethicon US, LLC | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161215001824 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery | CA | |
| Nurse Practitioner | CA | |
| Cardiac Surgery | MI | |
| Thoracic Surgery | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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