Active NPI
Lisa Margaret Goldthwaite, M.D.
- Obstetrics & Gynecology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A136020
- Practice address
- 900 Blake Wilbur Dr
Palo Alto, CA 94304-2201 - Phone
- (650) 725-6079
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DR.0052313 | CO | |
| Gynecology Physician | 207VG0400X | 72471 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | A136020 | CA | Primary |
Addresses
Primary practice location
900 Blake Wilbur Dr
Palo Alto, CA 94304-2201
Mailing address
453 Quarry Rd
Palo Alto, CA 94304-1419
Phone (650) 723-4000
Other practice location 1
8053 E Bloomington Fwy Ste 450
Bloomington, MN 55420-1031
Phone (612) 376-7708
Other practice location 2
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Oregon Health Sciences University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136020 | CA | MD | Obstetrics & Gynecology Physician |
| DR.0052313 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Minnesota, North Dakota, South Dakota | Current | Accepting new patients | |
| Stanford Health Care | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674
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 and National Provider Directory roles.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1457594244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BLAKE WILBUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042201",
"telephone_number": "650-725-6079"
}
],
"practiceLocations": [
{
"address_1": "8053 E Bloomington Fwy Ste 450",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554201031",
"country_code": "US",
"telephone_number": "612-376-7708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "671 Vandalia St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141312",
"country_code": "US",
"telephone_number": "651-698-2406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDTHWAITE",
"first_name": "LISA",
"middle_name": "MARGARET",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "DR.0052313",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MN",
"license": "72471",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A136020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.