Jeffrey D Goss DPM Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E2510 Issued in CA

Legal business name

JEFFREY D GOSS DPM INC.

Doing business as

Encino Podiatry Group

Practice address

16311 Ventura Blvd
Ste 630
Encino, CA 91436-2124

Phone

(818) 995-3039

Fax

(818) 995-3368

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey David Goss, DPM

Title

President

Phone

(818) 995-3039

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Encino Podiatry Group Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1619012804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-995-3039",
            "fax_number": "818-995-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-995-3039",
            "fax_number": "818-995-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D GOSS DPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-3039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E25100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey B. Glaser, M.D., Medical Corporation
• Jeffrey P. Lake, M.D., Inc.
• Jeffrey Steinberg MD, Incorporated
• Jeffrey W. Birns, M.D. a Medical Corporation
• Anna Jeffries
• Shameca Jenkins

• Podiatric Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Podiatric Clinic/Center in California

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