Organization Active NPI

Sanjiv Goel, M.D., Inc.

  • Interventional Cardiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1568559557
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A44063 Issued in CA
Legal business name
SANJIV GOEL, M.D., INC.
Practice address
2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone
(805) 497-3585
Fax
(805) 497-1313
NPI assigned
Oct 10, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sanjiv Goel, M.D., F.A.C.C.NPI 1700983707
Title
President / C.E.O.
Phone
(805) 497-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A44063 CA
Cardiovascular Disease Physician 207RC0000X A44063 CA
Interventional Cardiology Physician 207RI0011X A44063 CA Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Mailing address

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone (805) 497-3585

Other identifiers 1

IdentifierTypeStateIssuer
00A440630OtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000567 CA Part B Supplier - Clinic/Group Practice 7012804636 Receives reassigned benefits from 2 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2650 Jones Way
Ste 9
Simi Valley, CA 93065
Phone (805) 584-9293

2100 Lynn Rd
Ste 205
Thousand Oaks, CA 91360
Phone (805) 381-9877

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1568559557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-497-3585",
            "fax_number": "805-497-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-497-3585",
            "fax_number": "805-497-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV GOEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT / C.E.O.",
        "authorized_official_telephone_number": "805-497-3585",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44063",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A44063",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A44063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A440630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.