Individual provider Active NPI

Anita Goldstein, DC

  • Nutrition Chiropractor
  • Culver City, CA
National Provider Identifier
1417924259
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC29526 Issued in CA
Practice address
3121 Roberts Ave
Culver City, CA 90232-7414
Phone
(310) 567-7977
NPI assigned
Mar 1, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC29526 CA Primary

Addresses

Primary practice location

3121 Roberts Ave
Culver City, CA 90232-7414

Mailing address

3121 Roberts Ave
Culver City, CA 90232-7414
Phone (310) 567-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29526CAMDNutrition Chiropractor
29526CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Goldstein Chiropractic Inc Nutrition CurrentSince Dec 15, 2019 Accepting new patients
Eric Mizrahi MD Inc Chiropractor PastSince Feb 24, 2003 Accepting new patients

Locations

2716 Ocean Park Blvd
Ste 2007
Santa Monica, CA 90405
Phone (323) 655-8528

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1417924259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 ROBERTS AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902327414",
            "telephone_number": "310-567-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 ROBERTS AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902327414",
            "telephone_number": "310-567-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC29526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.