Organization Active NPI

Alex Gold, MD, a Medical Corporation

  • Primary Care Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1396917548
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A89939 Issued in CA
Legal business name
ALEX GOLD, MD, A MEDICAL CORPORATION
Practice address
2021 Santa Monica Blvd
Suite 440-E
Santa Monica, CA 90404-2208
Phone
(310) 453-1386
Fax
(310) 453-4786
NPI assigned
Mar 27, 2008
Last updated
Mar 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Authorized official

Name
Dr. Alex Gold, M.D.
Title
Director/Ceo
Phone
(310) 453-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A89939 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd
Suite 440-E
Santa Monica, CA 90404-2208

Mailing address

2021 Santa Monica Blvd
Suite 440-E
Santa Monica, CA 90404-2208
Phone (310) 453-1386

Other identifiers 1

IdentifierTypeStateIssuer
1114924792OtherCANPI

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 453-0577

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236384000000",
    "number": "1396917548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 440-E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-453-1386",
            "fax_number": "310-453-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 440-E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-453-1386",
            "fax_number": "310-453-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX GOLD, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-03-07",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "310-453-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A89939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114924792",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; 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.