Organization Active NPI

William M Gould MD Inc

  • Dermatology Physician
  • Palo Alto, CA
National Provider Identifier
1205809662
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
000G60590 Issued in CA
Legal business name
WILLIAM M GOULD MD INC
Doing business as
Gould Dermatology Group
Practice address
750 Welch Rd
Ste 218
Palo Alto, CA 94304-1509
Phone
(650) 327-5783
Fax
(650) 327-5510
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
William Morris Gould, MDNPI 1689893703
Title
President
Phone
(650) 327-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 000G60590 CA Primary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 000G65624 CA

Addresses

Primary practice location

750 Welch Rd
Ste 218
Palo Alto, CA 94304-1509

Mailing address

750 Welch Rd
Ste 218
Palo Alto, CA 94304-1509
Phone (650) 327-5783

Other names 1

  • Gould Dermatology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050504000758 CA Part B Supplier - Clinic/Group Practice 9931149473 Receives reassigned benefits from 3 practitioners
Practice locations: Menlo Park, CA

National Provider Directory

National Provider Directory

Locations

695 Oak Grove Ave
Ste 220
Menlo Park, CA 94025
Phone (650) 327-5783

750 Welch Rd
Ste 218
Palo Alto, CA 94304
Phone (650) 327-5783

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1205809662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "address_2": "STE 218",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041509",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "address_2": "STE 218",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041509",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M GOULD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-327-5783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "000G60590",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "000G65624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gould Dermatology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.