Active NPI
Philip Goldstein, MD
- Infectious Disease Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A163042
- Practice address
- 11160 Warner Ave Ste 323
Fountain Valley, CA 92708-4055 - Phone
- (714) 751-7002
- Fax
- (714) 751-9340
- NPI assigned
- Jul 7, 2014
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A163042 | CA | Primary |
Addresses
Primary practice location
11160 Warner Ave Ste 323
Fountain Valley, CA 92708-4055
Mailing address
11160 Warner Ave Ste 323
Fountain Valley, CA 92708-4055
Phone (714) 751-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919002350 | CA | Practitioner - Infectious Disease | 9234496340 | Practice locations: Westminster, CA; Fountain Valley, CA; Santa Ana, CA; Huntington Beach, CA; Garden Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11160 Warner Ave
Suite 323
Fountain Valley, CA 92708-4055
Phone (714) 751-7002
12601 Garden Grove Blvd
Garden Grove, CA 92843-1908
Phone (714) 537-5160
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 966-7200
17772 Beach Blvd
Huntington Beach, CA 92647-6819
Phone (714) 842-1473
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000
Hospital & facility affiliations
- Elegance Healthcare, Inc
- Memorialcare Orange Coast Medical Center
- Uci Health-Orange
- Garden Grove Hospital & Medical Center
- Huntington Beach Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.06 of 100
- Quality
- 48.65
- Improvement activities
- 20
- Cost
- 65.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163042 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Encino, CA
- NPI 1396117982
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Huntington Beach, CA
- NPI 1083622120
-
- General Acute Care Hospital
- Garden Grove, CA
- NPI 1659538858
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1316353758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 323",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-751-7002",
"fax_number": "714-751-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 323",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-751-7002",
"fax_number": "714-751-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "PHILIP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A163042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.