Active NPI
Brian Wayne Goelitz, M.D.
- Vascular & Interventional Radiology Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A97686
- Practice address
- 2185 Citracado Pkwy
Escondido, CA 92029 - Phone
- (760) 940-4055
- Fax
- (760) 940-4084
- NPI assigned
- May 7, 2007
- Last updated
- Jan 22, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A97686 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A97686 | CA | Primary |
Addresses
Primary practice location
2185 Citracado Pkwy
Escondido, CA 92029
Mailing address
PO Box 23540
San Diego, CA 92193-3540
Phone (760) 940-4055
Other practice location 1
4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 940-4055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A976860 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12805 Ralston Cir
San Diego, CA 92130-2447
Phone (858) 658-6500
1955 Citracado Pkwy
Suite 100
Escondido, CA 92029-4111
Phone (760) 940-4055
3900 Sherman Dr
Suite 100200
Riverside, CA 92503-4006
Phone (951) 682-1099
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.64 of 100
- Quality
- 73.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97686 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| North County Radiology Associates Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| IHS Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Palomar Health | Past | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients | |
| Physicians Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 30)
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
1955 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (760) 743-3873
2130 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (858) 485-1111
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
255 N Elm St
Ste 102
Escondido, CA 92025
Phone (760) 739-5400
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230
3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500
3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014
3909 Waring Rd
Ste C
Oceanside, CA 92056
Phone (760) 630-0014
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
1801 W Olympic Blvd
#1313
Pasadena, CA 91199
3900 Sherman Dr
Ste 100
Riverside, CA 92503
Phone (951) 682-1099
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
dba Imaging Healthcare Specialists
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1497148456
-
- Vascular & Interventional Radiology Physician
- Escondido, CA
- NPI 1417723024
-
- Diagnostic Radiology Physician
- Coronado, CA
- NPI 1417988221
-
- Diagnostic Radiology Physician
- Victorville, CA
- NPI 1497941421
-
dba Temecula Valley Imaging Ctr--Menifee
- Diagnostic Radiology Physician
- Menifee, CA
- NPI 1649599085
-
dba Anaheim Advanced Imaging
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1972826774
-
dba Eisenhower Radiology Medical Group, Inc
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
-
dba San Diego Imaging Medical Group, Inc.
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1629156583
-
- Diagnostic Radiology Physician
- Poway, CA
- NPI 1730432972
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1891741831
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1649483850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23540",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921933540",
"telephone_number": "760-940-4055",
"fax_number": "760-940-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 CITRACADO PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92029",
"telephone_number": "760-940-4055",
"fax_number": "760-940-4084"
}
],
"practiceLocations": [
{
"address_1": "4002 Vista Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920564506",
"country_code": "US",
"telephone_number": "760-940-4055",
"fax_number": "760-940-4084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOELITZ",
"first_name": "BRIAN",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A97686",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A97686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A976860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.