Individual provider Active NPI

William M Gould, M.D.

  • Specialist
  • Menlo Park, CA
National Provider Identifier
1689893703
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000G60590 Issued in CA
Practice address
695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351
Phone
(650) 327-5783
Fax
(650) 327-5510
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G60590 CA
Specialist 174400000X 000G60590 CA Primary

Addresses

Primary practice location

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351

Mailing address

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351
Phone (650) 327-5783

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
I20081209000430 CA Practitioner - Dermatology 9133204977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1958
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William M Gould M D IncGroup PAC ID 9931149473, 3 clinicians

Practice addresses (Care Compare)

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4371
Phone (650) 327-5783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions39
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000G60590CAMDSpecialist
G60590CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William M Gould MD Inc Dermatology CurrentSince Jun 24, 1999 Accepting new patients
Stanford Health Care Dermatology PastSince Jun 24, 1999 Accepting new patients

Locations

695 Oak Grove Ave
Ste 220
Menlo Park, CA 94025
Phone (650) 327-5783

750 Welch Rd
Ste 218
Palo Alto, CA 94304
Phone (650) 327-5783

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1689893703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 220",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 220",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G60590",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "000G60590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.