Individual provider Active NPI

Margaret J. Jane Goldenhersh, M.D.

  • Allergy & Immunology Physician
  • Pacific Palisades, CA
National Provider Identifier
1669633640
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G53643 Issued in CA
Practice address
17781 Camino de Yatasto
Pacific Palisades, CA 90272-2018
Phone
(310) 962-7777
Fax
(310) 454-6887
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G53643 CA Primary

Addresses

Primary practice location

17781 Camino de Yatasto
Pacific Palisades, CA 90272-2018

Mailing address

17781 Camino de Yatasto
Pacific Palisades, CA 90272-2018
Phone (310) 962-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53643CAMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1669633640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17781 CAMINO DE YATASTO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722018",
            "telephone_number": "310-962-7777",
            "fax_number": "310-454-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 CAMINO DE YATASTO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722018",
            "telephone_number": "310-962-7777",
            "fax_number": "310-454-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENHERSH",
        "first_name": "MARGARET J.",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G53643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.