Active NPI
Maryam Gul, M.D.
- Rheumatology Physician
- Anaheim, CA
National Provider Identifier
1497015192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A149391
- Practice address
- 2050 S Euclid St
Anaheim, CA 92802-3111 - Phone
- (714) 883-7180
- NPI assigned
- May 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A149391 | CA | Primary |
Addresses
Primary practice location
2050 S Euclid St
Anaheim, CA 92802-3111
Mailing address
2347 Mangular Ave
Corona, CA 92882-5789
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 S Euclid St
Anaheim, CA 92802-3111
Phone (714) 883-7180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149391 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Rheumatology, Inc | Single Specialty | Current | Accepting new patients |
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Alta Newport Hospital, LLC | Past | Accepting new patients |
Locations
2500 E Ball Rd
Ste 100
Anaheim, CA 92806
Phone (714) 563-0700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Tustin, CA
- NPI 1043632938
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1497015192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2347 MANGULAR AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928825789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928023111",
"telephone_number": "714-883-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUL",
"first_name": "MARYAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A149391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.