Organization Active NPI

Joseph S. Goetz, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1518149459
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G039888 Issued in CA
Legal business name
JOSEPH S. GOETZ, MD
Practice address
9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone
(310) 274-4626
Fax
(310) 285-0446
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Joseph S. Goetz, M.D.
Title
M.D.
Phone
(310) 274-4626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G039888 CA Primary

Addresses

Primary practice location

9200 W Pico Blvd
Los Angeles, CA 90035-1319

Mailing address

9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone (310) 274-4626

Other identifiers 1

IdentifierTypeStateIssuer
G039888OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1518149459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351319",
            "telephone_number": "310-274-4626",
            "fax_number": "310-285-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351319",
            "telephone_number": "310-274-4626",
            "fax_number": "310-285-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH S. GOETZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-274-4626",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G039888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G039888",
            "state": "CA"
        }
    ],
    "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 Apr 8, 2008; 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.