Individual provider Active NPI

Laura Goldsmith

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1629624077
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012241 Issued in CA
Practice address
1821 Wilshire Blvd Ste 100
Santa Monica, CA 90403-5627
Phone
(310) 575-3100
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012241 CA Primary
Family Nurse Practitioner 363LF0000X 95012241 CA

Addresses

Primary practice location

1821 Wilshire Blvd Ste 100
Santa Monica, CA 90403-5627

Mailing address

4900 Overland Ave Unit 281
Culver City, CA 90230-4284
Phone (310) 804-3490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgoldsmith670282@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918000304 CA Practitioner - Nurse Practitioner 3971833997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

1821 Wilshire Blvd
Suite 100
Santa Monica, CA 90403-5627
Phone (310) 575-3100

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

901 Wilshire Blvd
Santa Monica, CA 90401-1854

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012241CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Aug 1, 2023 Accepting new patients
Cep America-California CurrentSince Aug 1, 2023 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Aug 12, 2019 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Aug 1, 2023 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1811 Wilshire Blvd
Ste 201
Santa Monica, CA 90403
Phone (310) 566-6330

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1821 Wilshire Blvd
Ste 100
Santa Monica, CA 90403
Phone (310) 575-3100

1831 Wilshire Blvd
Ste B
Santa Monica, CA 90403
Phone (310) 400-5565

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lgoldsmith670282@oc.providencedirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1629624077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OVERLAND AVE UNIT 281",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304284",
            "telephone_number": "310-804-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035627",
            "telephone_number": "310-575-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-02-13",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012241",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgoldsmith670282@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1811 Wilshire Blvd Ste 201",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.