Individual provider Active NPI

Robert A Gold, MD

  • Internal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1164489456
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G47614 Issued in CA
Practice address
45 North Erbes Road
Thousand Oaks, CA 91362-5802
Phone
(818) 404-3200
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G47614 CA
Internal Medicine Physician 207R00000X G47614 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G47614 CA

Addresses

Primary practice location

45 North Erbes Road
Thousand Oaks, CA 91362-5802

Mailing address

45 North Erbes Road
Thousand Oaks, CA 91362-5802
Phone (818) 404-3200

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
I20051201000561 CA Practitioner - Internal Medicine 9739109042 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Courtyard Clinic Inc. CurrentSince Jul 5, 2022 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Feb 22, 2016 Accepting new patients
County of Los Angeles CurrentSince Feb 22, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
Robert Gold MD,Inc. Dermatology PastSince Mar 1, 2006 Accepting new patients

Locations

23693 Calabasas Rd
Ste 100
Calabasas, CA 91302
Phone (818) 493-7588

14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Interoperability endpoints

  • Direct secure messaging: robert.gold.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1164489456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NORTH ERBES ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913625802",
            "telephone_number": "818-404-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NORTH ERBES ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913625802",
            "telephone_number": "818-404-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G47614",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G47614",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G47614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.