Organization Active NPI

Michael G Goldstein MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1568650604
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G20440 Issued in CA
Legal business name
MICHAEL G GOLDSTEIN MD INC
Practice address
231 W Vernon Ave
204
Los Angeles, CA 90037-2700
Phone
(323) 521-1544
Fax
(323) 521-1546
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Michael G Goldstein, M.D.NPI 1669683082
Title
Ceo/Pres
Phone
(323) 521-1544

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G20440 CA Primary

Addresses

Primary practice location

231 W Vernon Ave
204
Los Angeles, CA 90037-2700

Mailing address

231 W Vernon Ave
204
Los Angeles, CA 90037-2700
Phone (323) 521-1544

Other identifiers 1

IdentifierTypeStateIssuer
G20440OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

231 W Vernon Ave
Ste 204
Los Angeles, CA 90037
Phone (323) 234-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1568650604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE",
            "address_2": "204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372700",
            "telephone_number": "323-521-1544",
            "fax_number": "323-521-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE",
            "address_2": "204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372700",
            "telephone_number": "323-521-1544",
            "fax_number": "323-521-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G GOLDSTEIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/PRES",
        "authorized_official_telephone_number": "323-521-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G20440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G20440",
            "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 Oct 12, 2007; 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.