Active NPI
Mary K. Goldstein, M.D.
- Internal Medicine Physician
- Palo Alto, CA
National Provider Identifier
1578659280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G42672
- Practice address
- VA Palo Alto Health Care System; Grecc 182B
3801 Miranda Avenue
Palo Alto, CA 94304 - Phone
- (650) 493-5000
- Fax
- (650) 496-2505
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | G42672 | CA | |
| Internal Medicine Physician | 207R00000X | G42672 | CA | Primary |
Addresses
Primary practice location
VA Palo Alto Health Care System; Grecc 182B
3801 Miranda Avenue
Palo Alto, CA 94304
Mailing address
VA Palo Alto Health Care System; Grecc 182B
3801 Miranda Avenue
Palo Alto, CA 94304
Phone (650) 493-5000
Other names 1
- Dr. Mary Kane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42672 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578659280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA PALO ALTO HEALTH CARE SYSTEM; GRECC 182B",
"address_2": "3801 MIRANDA AVENUE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-493-5000",
"fax_number": "650-496-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PALO ALTO HEALTH CARE SYSTEM; GRECC 182B",
"address_2": "3801 MIRANDA AVENUE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-493-5000",
"fax_number": "650-496-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MARY",
"middle_name": "K.",
"name_prefix": "Prof.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "G42672",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G42672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KANE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.