NPIMap

Individual provider Active NPI

Gan Golshteyn

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
National Provider Identifier
1356874929
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5760 Issued in CA
Practice address
6145 N Thesta St
Fresno, CA 93710-5266
Phone
(559) 436-4820
NPI assigned
Apr 10, 2017
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00354700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 5760 CA Primary

Addresses

Primary practice location

6145 N Thesta St
Fresno, CA 93710-5266

Mailing address

861 Tuscany CT
Lemoore, CA 93245-9339
Phone (954) 512-3338

Other practice location 1

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610003186 CA Practitioner - Podiatry 3678973781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

1516 Shaw Ave
Clovis, CA 93611-4028
Phone (559) 436-4820

2335 E Kashian LN
Fresno, CA 93701-2234

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

7407 N Cedar Ave
Fresno, CA 93720-3839

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue220
Removal of skin lesions1-10
Removal of nail tissue629
Removal or shaving of skin growth142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00354700NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Community Foundation Medical Group Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Valley Medical Providers PastSince May 7, 2023 Accepting new patients

Locations

1516 Shaw Ave
Clovis, CA 93611
Phone (559) 228-5400

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2900 Fresno St
Ste 104
Fresno, CA 93721
Phone (559) 570-5377

6145 N Thesta St
Fresno, CA 93710
Phone (559) 436-4820

6153 N Thesta St
Fresno, CA 93710
Phone (559) 432-5156

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1356874929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 TUSCANY CT",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459339",
            "telephone_number": "954-512-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-436-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-682-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLSHTEYN",
        "first_name": "GAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00354700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.