Active NPI
Victoria Goltsman
- Psychiatry Physician
- Simi Valley, CA
National Provider Identifier
1063536019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A63647
- Practice address
- 1227 E Los Angeles Ave
Simi Valley, CA 93065-2871 - Phone
- (805) 582-4080
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A63647 | CA | Primary |
Addresses
Primary practice location
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Mailing address
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4080
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
| License | State | Type | Specialty |
|---|---|---|---|
| A63647 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1063536019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652871",
"telephone_number": "805-582-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652871",
"telephone_number": "805-582-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTSMAN",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A63647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.