Mark P Goodman MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G81205 Issued in CA

Legal business name

MARK P GOODMAN MD INC

Practice address

435 N Roxbury Dr
Ste 300
Beverly Hills, CA 90210-5027

Phone

(310) 271-6889

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Goodman, M.D.NPI 1477659407

Title

President

Phone

(310) 271-6889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Mark P Goodman, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1477659407
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1346652856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-271-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-271-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P GOODMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G81205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjan Rafeii Speech Pathology, Inc.
• Mark B. Jamison, D.D.S., a Professional Dentistry Corporation
• Mark C. Rothman, M. D., Inc.
• Mark H Goldenberg DDS a Dental Corp Darrin J Hirt DDS Ms Inc (Beverly Hills Pediatric Dentistry)
• Mark N Katz, DDS a Professional Corporation
• Mark Shafa MD Inc
• Irene Rodriguez Marker, NP
• Maxine Marks
• Rachel Melissa Marks, PSY.D.
• Sam Siamak Markzar, DDS

• Primary Care Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.