Dr Paul Holtom, MD - Medicare Internal Medicine in Los Angeles, CA

Dr Paul Holtom, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Los Angeles, California. His current practice location is 1520 San Pablo St, Suite 1000, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5100.

Dr Paul Holtom is licensed to practice in California (license number G044895) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851300032.

Contact Information

Dr Paul Holtom, MD
1520 San Pablo St, Suite 1000,
Los Angeles, CA 90033-5310
(323) 442-5100
Not Available

Map and Direction




Physician's Profile

Full NameDr Paul Holtom
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location1520 San Pablo St, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851300032
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951482272
  • Enrollment ID: I20080112000158

Medical Identifiers

Medical identifiers for Dr Paul Holtom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851300032NPI-NPPES
00G448950197OtherCACAL OPTIMA
W18762OtherCAGROUP MEDICARE
00G448950MedicaidCA
440000831OtherCARAILROAD MEDICARE
CE1617OtherCAGROUP RAILROAD MEDICARE
1902846306OtherCAGROUP NPI
GR0016910OtherCAGROUP MEDICAID PIN
W11675OtherCAGROUP MEDICARE PIN
ZZZ50018ZOtherCAGROUP BLUE SHIELD
00G448950OtherCABLUE SHIELD
06E2774OtherCAGROUP CHAMPUS
GR0100430OtherCAGROUP MEDICAL
1356390009OtherCAGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease G044895 (California)Primary

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. Dr Paul Holtom allows following entities to bill medicare on his behalf.
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412

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. Dr Paul Holtom 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
Dr Paul Holtom, MD
Lac Usc Medical Center, 1200 N. State Se. Room C5e100,
Los Angeles, CA 90033

Ph: (323) 409-6645
Dr Paul Holtom, MD
1520 San Pablo St, Suite 1000,
Los Angeles, CA 90033-5310

Ph: (323) 442-5100

Reviews and Comments


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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.