Individual provider Active NPI

Tina Geller Goldstein, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1275206062
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018069 Issued in CA
Practice address
1 Daniel Burnham CT Ste 330C
San Francisco, CA 94109-5482
Phone
(415) 668-0888
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018069 CA Primary

Addresses

Primary practice location

1 Daniel Burnham CT Ste 330C
San Francisco, CA 94109-5482

Mailing address

1 Daniel Burnham CT Ste 330C
San Francisco, CA 94109-5482
Phone (415) 668-0888

Other practice location 1

61 Camino Alto Ste 107
Mill Valley, CA 94941-2910
Phone (415) 388-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018069CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1275206062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 330C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095482",
            "telephone_number": "415-668-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 330C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095482",
            "telephone_number": "415-668-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Camino Alto Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412910",
            "country_code": "US",
            "telephone_number": "415-388-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "TINA",
        "middle_name": "GELLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; 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.