Individual provider Active NPI

Donald Irwin Goldstein, MD

  • Ophthalmology Physician
  • North Hollywood, CA
National Provider Identifier
1336163104
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A23730 Issued in CA
Practice address
4418 Vineland Ave
#106
North Hollywood, CA 91602-3457
Phone
(818) 762-0647
Fax
(818) 762-7834
NPI assigned
Jul 26, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A23730 CA Primary

Addresses

Primary practice location

4418 Vineland Ave
#106
North Hollywood, CA 91602-3457

Mailing address

4418 Vineland Ave
106
North Hollywood, CA 91602-3457
Phone (818) 762-0647

Other identifiers 1

IdentifierTypeStateIssuer
00A237300MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1336163104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "#106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DONALD",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A23730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A237300",
            "state": "CA"
        }
    ],
    "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 22, 2008; 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.