Jerome Goldstein MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G15358 Issued in CA

Legal business name

JEROME GOLDSTEIN MD A PROFESSIONAL CORPORATION

Doing business as

SAN FRANCISCO CLINICAL RESEARCH CENTER

Practice address

909 Hyde St
Suite # 322
San Francisco, CA 94109-4822

Phone

(415) 673-4600

Fax

(415) 673-9532

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Goldstein, M.D.

Title

Director

Phone

(415) 673-4600

Specialties & licenses 1

Addresses

Other names 1

• SAN FRANCISCO CLINICAL RESEARCH CENTER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Louise Gomes Tindle, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1578788071
  NPD (past)
• Kathleen Elizabeth Smith, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
  • NPI 1457575185
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396882544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE # 322",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-673-4600",
            "fax_number": "415-673-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE # 322",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-673-4600",
            "fax_number": "415-673-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME GOLDSTEIN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-673-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G15358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN FRANCISCO CLINICAL RESEARCH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry E. Jergesen, MD
• Amy Jernigan, APRN
• Laura A. Jernigan, MD
• Megan Jernigan, OTR/L
• Jerome Goldstein MD a Professional Corp
• Jerome M. Weiss, M.D., Inc.
• Jerome Nicholas Jew
• Randy C Jerrett
• David Jesitus
• Stephanie J Jeske, MD, MSC

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.