Organization Active NPI

Albert S Goh MD Inc

  • Otolaryngology Physician
  • Tustin, CA
National Provider Identifier
1609837590
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C22724 Issued in CA
Legal business name
ALBERT S GOH MD INC
Practice address
14642 Newport Avenue
460
Tustin, CA 92780
Phone
(714) 669-4477
Fax
(714) 669-4455
NPI assigned
Mar 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Albert S. Goh, MD
Title
Provider
Phone
(714) 669-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X C22724 CA Primary

Addresses

Primary practice location

14642 Newport Avenue
460
Tustin, CA 92780

Mailing address

PO Box 3746
Tustin, CA 92781-3746
Phone (714) 669-4477

National Provider Directory

National Provider Directory

Locations

14642 Newport Ave
Ste 460
Tustin, CA 92780
Phone (714) 669-4477

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1609837590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3746",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927813746",
            "telephone_number": "714-669-4477",
            "fax_number": "714-669-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVENUE",
            "address_2": "460",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-669-4477",
            "fax_number": "714-669-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT S GOH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-669-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C22724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.