Individual provider Active NPI

Gary I. Gutkin, M.D.

  • Hospitalist Physician
  • West Hollywood, CA
National Provider Identifier
1366636573
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A99379 Issued in CA
Practice address
8700 Beverly Blvd RM 5512
West Hollywood, CA 90048-1804
Phone
(310) 423-5581
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99379 CA
Hospitalist Physician 208M00000X A99379 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd RM 5512
West Hollywood, CA 90048-1804

Mailing address

8700 Beverly Blvd RM 5512
West Hollywood, CA 90048-1804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000279 CA Practitioner - HospitalistPractitioner - Internal Medicine 0345300729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of California, Irvine, California College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299

Hospital & facility affiliations

  • Universal Home Care, Inc. Home health agency, Beverly Hills, CA, CCN 557669
  • Skilled Home Health, Inc Home health agency, Downey, CA, CCN 559427
  • Daylight Home Health Services, Inc Home health agency, Glendale, CA, CCN 059699
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Beverly Hills Rehabilitation Centre Nursing home, Los Angeles, CA, CCN 555700
  • Guardian Rehabilitation Hospital Nursing home, Los Angeles, CA, CCN 056008
  • West Hollywood Healthcare & Wellness Centre, LP Nursing home, Los Angeles, CA, CCN 055710
  • West Pico Terrace Healthcare & Wellness Centre LP Nursing home, Los Angeles, CA, CCN 055119
  • La Brea Rehabilitation Center Nursing home, Los Angeles, CA, CCN 056195

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99379CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2008 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
Rm 5512
West Hollywood, CA 90048
Phone (310) 423-2924

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guardian Rehabilitation HospitalLos Angeles, CA, CCN 056008 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 8, 2022
Mar 8, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1366636573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD RM 5512",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD RM 5512",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTKIN",
        "first_name": "GARY",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99379",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A99379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.