Ira Golditch, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G12620 Issued in CA

Practice address

1401 Fountaingrove Pkwy
#305
Santa Rosa, CA 95403-5757

Phone

(707) 591-9855

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1346696358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FOUNTAINGROVE PKWY",
            "address_2": "#305",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035757",
            "telephone_number": "707-591-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUNTAINGROVE PKWY",
            "address_2": "#305",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035757",
            "telephone_number": "707-591-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDITCH",
        "first_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G12620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta L Goldfarb, PHD
• Goldhamer & Marano Chiropractic Ctr, Inc.
• Alan Goldhamer, D.C.
• Linsey Golding
• Brad Golditch, MD
• David Michael Goldman, M.S., R.D.
• Elizabeth Alison Goldman, MFT
• Emma Goldman
• Lilah Jayne Goldsberry
• Andrew R. Goldstein, MD

• Obstetrics & Gynecology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.