Individual provider Active NPI

Joshua Gottlieb, D.O.

  • Urology Physician
  • Burbank, CA
National Provider Identifier
1003347618
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19692 Issued in CA
Practice address
2701 W Alameda Ave Ste 200
Burbank, CA 91505-4406
Phone
(818) 853-9659
Fax
(818) 843-0380
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20A19692 CA
Urology Physician 208800000X 19692 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave Ste 200
Burbank, CA 91505-4406

Mailing address

2701 W Alameda Ave Ste 200
Burbank, CA 91505-4406
Phone (818) 853-9659

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003355 CA Practitioner - Urology 4880075183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 Santa Monica Blvd
FL 3
Santa Monica, CA 90404-1878

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19692CAMDAcupuncturist
20A19692CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jun 1, 2022 Accepting new patients
White Memorial Medical Center CurrentSince Aug 11, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

2701 W Alameda Ave
Ste 200
Burbank, CA 91505
Phone (818) 843-1700

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1700 E Cesar E Chavez Ave
Ste 1400
Los Angeles, CA 90033
Phone (323) 307-8913

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2750 Sycamore Dr
Ste 210
Simi Valley, CA 93065
Phone (805) 520-2663

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1003347618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054406",
            "telephone_number": "818-853-9659",
            "fax_number": "818-843-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054406",
            "telephone_number": "818-853-9659",
            "fax_number": "818-843-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A19692",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "19692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.