Active NPI
Brian Gulko, MD
- Pediatrics Physician
- Torrance, CA
National Provider Identifier
1073989794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A144944
- Practice address
- 1000 W Carson St
Torrance, CA 90502 - Phone
- (310) 222-2343
- NPI assigned
- Aug 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A144944 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502
Mailing address
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2343
Other practice location 1
1414 S Grand Ave Ste 200
Los Angeles, CA 90015-3072
Phone (213) 743-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144944 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System - Southern California | Past | Accepting new patients | |
| Providence Medical Institute | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bgulko882664@oc.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1073989794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90502",
"telephone_number": "310-222-2343"
}
],
"practiceLocations": [
{
"address_1": "1414 S Grand Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153072",
"country_code": "US",
"telephone_number": "213-743-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULKO",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A144944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.