Edwin Gultom, COTA
NPI 1316256084 · Occupational Therapy Assistant · Victorville, CA
Edwin Gultom, COTA is a Occupational Therapy Assistant provider in Victorville, CA (NPI 1316256084).
Provider details
- NPI number
- 1316256084
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2010 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2010-09-29
Frequently asked questions
- What is Edwin Gultom's NPI number?
- Edwin Gultom's National Provider Identifier (NPI) is 1316256084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Gultom's specialty?
- Edwin Gultom is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Edwin Gultom located?
- Edwin Gultom's practice location on file with NPPES is 16890 Green Tree Blvd, Victorville, CA 92395-5618.
- What is Edwin Gultom's phone number?
- The practice phone number listed in the NPPES registry for Edwin Gultom is (760) 245-5361.
- Is Edwin Gultom's NPI active?
- Yes — Edwin Gultom's NPI (1316256084) is active in the NPPES registry as of the last update on 2010-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.