Active NPI
Ellen Havah Goldstein, M.D.
- Reproductive Endocrinology Physician
- Los Angeles, CA
National Provider Identifier
1447578604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- A125501
- Practice address
- 10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915 - Phone
- (310) 855-3688
- Fax
- (310) 855-3390
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | A125501 | CA | Primary |
Addresses
Primary practice location
10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915
Mailing address
10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915
Phone (310) 855-3688
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125501 | CA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Dr. Ellen Goldstein Inc. | Reproductive Endocrinology | Current | Accepting new patients |
| Tri-County Surgery Center, Inc. | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
10390 Santa Monica Blvd
Ste 340
Los Angeles, CA 90025
Phone (310) 855-3688
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Reproductive Endocrinology Physician
- Los Angeles, CA
- NPI 1124776208
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Ambulatory Fertility Facility
- Los Angeles, CA
- NPI 1194907642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1447578604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10390 SANTA MONICA BLVD STE 340",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256915",
"telephone_number": "310-855-3688",
"fax_number": "310-371-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10390 SANTA MONICA BLVD STE 340",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256915",
"telephone_number": "310-855-3688",
"fax_number": "310-855-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "ELLEN",
"middle_name": "HAVAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "A125501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.