Active NPI
Edward L Goldzimer, M.D.
- Rehabilitation Practitioner
- San Diego, CA
National Provider Identifier
1306185558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- GFE 14828
- Practice address
- 7985 Sentinel
San Diego, CA 92127-2569 - Phone
- (858) 759-7446
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | GFE 14828 | CA | Primary |
Addresses
Primary practice location
7985 Sentinel
San Diego, CA 92127-2569
Mailing address
7985 Sentinel
San Diego, CA 92127-2569
Phone (858) 759-7446
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE 14828 | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1306185558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7985 SENTINEL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272569",
"telephone_number": "858-759-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7985 SENTINEL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272569",
"telephone_number": "858-759-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDZIMER",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "GFE 14828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.