Individual provider Active NPI

Gaurav K. Goswami, M.D.

  • Vascular & Interventional Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1376617829
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A97150 Issued in CA
Practice address
4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044
Phone
(949) 387-9991
Fax
(949) 387-9995
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Hospital Associates Inc 129 clinicians
City of Hope Medical Foundation 964 clinicians
Sol Radiology Inc 66 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

4425 Jamboree Rd
Newport Beach, CA 92660-3024
Phone (760) 728-1900

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • Kindred Hospital Paramount Long-term care hospital, Paramount, CA, CCN 052046

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

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
I20070409000297 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8820089949 Reassigns benefits to 5 organizations
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97150CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Sep 3, 2021 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Sep 3, 2021 Accepting new patients
Golden State Imaging Associates Inc Vascular & Interventional Radiology CurrentSince Aug 22, 2022 Accepting new patients
Sol Radiology, Inc. Vascular & Interventional Radiology CurrentSince Jul 20, 2024 Accepting new patients
City of Hope Medical Foundation CurrentSince Oct 28, 2024 Accepting new patients
Pomona Valley Imaging Medical Group Inc Past Accepting new patients
Advanced Medical Imaging Past Accepting new patients
California Imaging Institute Medical Group Inc Past Accepting new patients
Pacific Private Practice Network Inc Past Accepting new patients
Central Valley Community Medical Imaging Vascular & Interventional Radiology Past Accepting new patients
Advanced Memorial Imaging Group, a Medical Corporation Vascular & Interventional Radiology Past Accepting new patients
Association of Alexandria Radiologists, P.C. Vascular & Interventional Radiology Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1117 E Devonshire Ave
Ste B
Hemet, CA 92543

47111 Monroe St
#1112
Indio, CA 92201

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

4425 Jamboree Rd
Newport Beach, CA 92660
Phone (310) 408-8546

4425 Jamboree Rd
Ste 120
Newport Beach, CA 92660
Phone (949) 734-9381

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1035 Placer St
Redding, CA 96001

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

12490 Business Center Dr
Ste 2
Victorville, CA 92395

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Interoperability endpoints

  • Direct secure messaging: gaurav.goswami.p184@direct.aac.nextgenshare.com
  • Direct secure messaging: ggoswami211842@cityofhope.direct-ci.com
  • Direct secure messaging: gaurav.goswami.p183@direct.aac.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A97150 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044

Mailing address

4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044
Phone (949) 387-9991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2023.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1376617829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603044",
            "telephone_number": "949-387-9991",
            "fax_number": "949-387-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603044",
            "telephone_number": "949-387-9991",
            "fax_number": "949-387-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSWAMI",
        "first_name": "GAURAV",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A97150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.