Individual provider Active NPI

Gabriella Goodfriend, M.D.

  • Psychiatry Physician
  • Valley Village, CA
National Provider Identifier
1316357221
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D6080199 Issued in CA
Practice address
12734 Albers St
Valley Village, CA 91607-1903
Phone
(818) 437-3857
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D6080199 CA Primary

Addresses

Primary practice location

12734 Albers St
Valley Village, CA 91607-1903

Mailing address

12734 Albers St
Valley Village, CA 91607-1903
Phone (818) 437-3857

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210002419 CA Practitioner - Psychiatry 5193130821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D6080199CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Oct 22, 2020 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Oct 22, 2020 Accepting new patients

Locations

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

8300 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 525-6418

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1316357221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 ALBERS ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071903",
            "telephone_number": "818-437-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 ALBERS ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071903",
            "telephone_number": "818-437-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODFRIEND",
        "first_name": "GABRIELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "D6080199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.