Organization Active NPI

Elliot L Goldman MD a Medical Corporation

  • Critical Care Medicine (Internal Medicine) Physician
  • North Hollywood, CA
National Provider Identifier
1275347437
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
ELLIOT L GOLDMAN MD A MEDICAL CORPORATION
Practice address
11810 Saticoy St
North Hollywood, CA 91605-2848
Phone
(310) 828-3465
Fax
(310) 315-0339
NPI assigned
Feb 6, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Elliot L Goldman, MDNPI 1699862169
Title
President
Phone
(310) 903-6847

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
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

11810 Saticoy St
North Hollywood, CA 91605-2848

Mailing address

PO Box 7250
Santa Monica, CA 90406-7250
Phone (310) 828-3465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430001269 CA Part B Supplier - Clinic/Group Practice 4688190812 Receives reassigned benefits from 1 practitioner
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

11810 Saticoy St
North Hollywood, CA 91605
Phone (310) 828-3465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1275347437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904067250",
            "telephone_number": "310-828-3465",
            "fax_number": "310-315-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 SATICOY ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052848",
            "telephone_number": "310-828-3465",
            "fax_number": "310-315-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT L GOLDMAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-903-6847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.