David Gudino, LCSW 80521 is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
224 E 6th St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 650-6300.
David Gudino is licensed to practice in California (license number LCSW80521) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104179217.
Healthcare Provider's Profile
| Full Name | David Gudino |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 224 E 6th St, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David Gudino graduated from medical school in 2012
NPI Data:
- NPI Number: 1104179217
- Provider Enumeration Date: 10/26/2012
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042556375
- Enrollment ID: I20190108001709
Medical Identifiers
Medical identifiers for David Gudino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104179217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | ASW34490 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW80521 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern California Permanente Medical Group | 6002729175 | 11250 |
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. David Gudino allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | Grow Healthcare Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. David Gudino 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 Address | Practice Location Address |
David Gudino, LCSW 80521 224 E 6th St, Los Angeles, CA 90014-2119 Ph: (213) 895-6274 | David Gudino, LCSW 80521 224 E 6th St, Los Angeles, CA 90014-2119 Ph: (213) 650-6300 |
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