Organization Active NPI

David Ghozland, MD, Inc

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1225337579
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86726 Issued in CA
Legal business name
DAVID GHOZLAND, MD, INC
Practice address
530 Wilshire Blvd Ste 202B
Santa Monica, CA 90401-1427
Phone
(310) 393-9359
Fax
(310) 451-7807
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Dr. David Ghozland, M.D.NPI 1750375929
Title
Ceo
Phone
(310) 393-9359

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A86726 CA Primary

Addresses

Primary practice location

530 Wilshire Blvd Ste 202B
Santa Monica, CA 90401-1427

Mailing address

530 Wilshire Blvd Ste 202B
Santa Monica, CA 90401-1427
Phone (310) 393-9359

Other identifiers 1

IdentifierTypeStateIssuer
A86726OtherCACA MEDICAL LICENSE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14519/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1225337579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 202B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011427",
            "telephone_number": "310-393-9359",
            "fax_number": "310-451-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 202B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011427",
            "telephone_number": "310-393-9359",
            "fax_number": "310-451-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GHOZLAND, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "GHOZLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-393-9359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A86726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.