Individual provider Active NPI

David H. Goltz, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Larkspur, CA
National Provider Identifier
1104879014
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G85091 Issued in CA
Practice address
18 Bon Air Rd
Larkspur, CA 94939-1123
Phone
(415) 927-5300
Fax
(415) 927-6860
NPI assigned
May 19, 2006
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G85091 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G85091 CA Primary

Addresses

Primary practice location

18 Bon Air Rd
Larkspur, CA 94939-1123

Mailing address

18 Bon Air Rd
Larkspur, CA 94939-1123
Phone (415) 927-5300

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
I20080612000888 CA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 6406927771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Merit-based Incentive Payment System (MIPS)

Final score
16.06 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
53.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G85091CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Orthopaedic Surgery CurrentSince Dec 15, 2023 Accepting new patients
California Orthopedics & Spine Inc Orthopaedic Surgery CurrentSince Jan 1, 2008 Accepting new patients
California Orthopedics & Spine Inc Orthopaedic Surgery CurrentSince Jan 1, 2008 Accepting new patients
California Orthopedics & Spine Inc Orthopaedic Surgery Current Accepting new patients

Locations

18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

2 Bon Air Rd
Ste 120A
Larkspur, CA 94939
Phone (415) 496-2812

5 Bon Air Rd
Ste 129
Larkspur, CA 94939
Phone (415) 924-8900

7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dgoltz223479@direct-ucsfmedicalcenter.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1104879014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BON AIR RD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391123",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BON AIR RD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391123",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTZ",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G85091",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G85091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.