Sofia Gambuto, MD
NPI 1225696206 · Emergency Medicine Physician · Whittier, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sofia Gambuto, MD is a Emergency Medicine Physician provider in Whittier, CA (NPI 1225696206).
Provider details
- NPI number
- 1225696206
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125.074445 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
154 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 59 | $176 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 53 | $8 |
| Critical Care, First 30-74 Minutes99291 | 28 | $216 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 14 | $122 |
Typical Medicare-allowed amounts for these services range $8–$216 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naproxen | 12 | 12 |
| Ondansetron Hcl | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 750 N Alfred St Apt 3Los Angeles, CA 90069-5341Phone: (646) 584-2195
- 1969 W Ogden AveChicago, IL 60612-3765Phone: (312) 864-6000
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2024-10-15
- Certified
- 2023-08-18
Frequently asked questions
- What is Sofia Gambuto's NPI number?
- Sofia Gambuto's National Provider Identifier (NPI) is 1225696206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sofia Gambuto's specialty?
- Sofia Gambuto is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sofia Gambuto located?
- Sofia Gambuto's practice location on file with NPPES is 12401 Washington Blvd, Whittier, CA 90602-1006.
- What is Sofia Gambuto's phone number?
- The practice phone number listed in the NPPES registry for Sofia Gambuto is (562) 698-0811.
- Does Sofia Gambuto accept Medicare?
- Sofia Gambuto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sofia Gambuto's NPI active?
- Yes — Sofia Gambuto's NPI (1225696206) is active in the NPPES registry as of the last update on 2024-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.