Individual provider Active NPI

Brian Wayne Goelitz, M.D.

  • Vascular & Interventional Radiology Physician
  • Escondido, CA
National Provider Identifier
1649483850
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A97686 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A976860MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000605 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain ManagementPractitioner - Interventional Radiology 1456445709 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
North County Radiology Associates IncGroup PAC ID 0840630208, 16 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
73.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97686CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jun 20, 2026 Accepting new patients
North County Radiology Associates Inc Vascular & Interventional Radiology CurrentSince Jan 1, 2024 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Current Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 15, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 15, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 15, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 15, 2025 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.

View all 14

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.