Individual provider Active NPI

Jonathan Gerald Goldin, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1477502144
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A68396 Issued in CA
Practice address
757 Westwood PLZ Ste 1501
Los Angeles, CA 90095-3075
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A68396 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 1501
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1245 16th St Ste 100
Santa Monica, CA 90404-1255
Phone (310) 301-6800

Other practice location 2

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

Other practice location 3

1245 16th St Ste 105
Santa Monica, CA 90404-1239
Phone (310) 301-6800

Other identifiers 1

IdentifierTypeStateIssuer
00A683960MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000986 CA Practitioner - Diagnostic Radiology 9436177110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

100 Moody CT
Thousand Oaks, CA 91360-6077
Phone (805) 418-3500

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 582-6217

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

23815 Stuart Ranch Rd
Suite 300
Malibu, CA 90265-4861
Phone (310) 456-1668

2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530

248 Hampshire Rd
Suite 100
Thousand Oaks, CA 91361-2401
Phone (805) 370-0040

26585 Agoura Rd
Suite 210
Calabasas, CA 91302-1958
Phone (818) 878-0028

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

3500 Lomita Blvd
Suite 300
Torrance, CA 90505-5038
Phone (310) 257-0028

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5424
Phone (310) 827-3700

501 Deep Valley Dr
Suite 100
Rolling Hills Estates, CA 90274-7606
Phone (310) 265-6401

6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020

6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68396CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Radiology Medical Group Diagnostic Radiology CurrentSince Jul 29, 1999 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 10, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 10, 2018 Accepting new patients
Regents of the University of California CurrentSince Jan 4, 2014 Accepting new patients
Regents of the University of California CurrentSince Jun 10, 2014 Accepting new patients
Regents of the University of California CurrentSince Jun 10, 2014 Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880

File 59755
Los Angeles, CA 90074

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

757 Westwood Plz
Ste 1501
Los Angeles, CA 90095

200 UCLA Medical Plz
Ste 135
Los Angeles, CA 90095
Phone (310) 267-2023

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 802-0200

4343 Lankershim Blvd
Ste 300
North Hollywood, CA 91602

4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038

1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020

1187 Coast Village Rd
Ste 10B
Santa Barbara, CA 93108
Phone (805) 403-8541

1245 16th St
Ste 105
Santa Monica, CA 90404
Phone (310) 319-3489

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1245 16th St
Ste 100
Santa Monica, CA 90404

Interoperability endpoints

  • Direct secure messaging: jgoldin60048@direct.uclahealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1477502144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041255",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662910",
            "country_code": "US",
            "telephone_number": "310-802-0200",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 16th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "JONATHAN",
        "middle_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A68396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A683960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.