Individual provider Active NPI

Jesse Ephraim Goldmacher, MD

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1013476811
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A161352 Issued in CA
Practice address
300 Pasteur Dr RM H3589
Stanford, CA 94305-2296
Phone
(647) 825-8726
Fax
(650) 725-0009
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A161352 CA Primary

Addresses

Primary practice location

300 Pasteur Dr RM H3589
Stanford, CA 94305-2296

Mailing address

300 Pasteur Dr RM H3589
Stanford, CA 94305-2296
Phone (647) 825-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161352CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1013476811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3589",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052296",
            "telephone_number": "647-825-8726",
            "fax_number": "650-725-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3589",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052296",
            "telephone_number": "647-825-8726",
            "fax_number": "650-725-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMACHER",
        "first_name": "JESSE",
        "middle_name": "EPHRAIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A161352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.