NPIMap

Individual provider Active NPI

Peter James Goadsby, MD

  • Neurology Physician
  • Los Agneles, CA
National Provider Identifier
1164606943
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
SFP44 Issued in CA
Practice address
100 UCLA Medical Plaza Suite 425
Los Agneles, CA 90095-3011
Phone
(310) 794-1195
NPI assigned
Dec 28, 2007
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SFP8 CA
Neurology Physician 2084N0400X SFP44 CA Primary

Addresses

Primary practice location

100 UCLA Medical Plaza Suite 425
Los Agneles, CA 90095-3011

Mailing address

5767 W Century Blvd Suite 400
Los Angeles, CA 90045-5631

Other practice location 1

1701 Divisadero St
Suite 480
San Francisco, CA 94115-3011
Phone (415) 353-8392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SFP8CAMDInternal Medicine Physician
SFP44CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurology CurrentSince Feb 1, 2021 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2021 Accepting new patients
UCSF Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

Interoperability endpoints

  • Direct secure messaging: pgoadsby804588@direct.uclahealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1164606943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA SUITE 425",
            "city": "LOS AGNELES",
            "state": "CA",
            "postal_code": "900953011",
            "telephone_number": "310-794-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Divisadero St",
            "address_2": "Suite 480",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153011",
            "country_code": "US",
            "telephone_number": "415-353-8392",
            "fax_number": "415-353-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOADSBY",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "SFP8",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "SFP44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Agneles, CA

Sources for this page

Verify at the official NPI Registry.