Active NPI
Joshua Timothy Goldman, M.D., M.B.A
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A120763
- Practice address
- 100 UCLA Medical PLZ Ste 755
Los Angeles, CA 90024 - Phone
- (310) 319-1234
- Fax
- (424) 259-6560
- NPI assigned
- Apr 9, 2010
- Last updated
- Nov 27, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A120763 | CA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A120763 | CA | Primary |
Addresses
Primary practice location
100 UCLA Medical PLZ Ste 755
Los Angeles, CA 90024
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (760) 409-4531
Other practice location 2
1250 16th St Ste 2100
Santa Monica, CA 90404-1249
Phone (424) 259-6593
Other practice location 3
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (760) 409-4531
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
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 170
Los Angeles, CA 90095-0001
Phone (310) 319-1234
1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234
1250 16TH St
Santa Monica, CA 90404-1249
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120763 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Sports Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Orthopaedic Hospital | Current | Accepting new patients | |
| Orthopaedic Hospital Medical Group Inc | Current | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880
100 UCLA Medical Plz
Ste 755
Los Angeles, CA 90024
Phone (310) 206-2386
403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330
403 W Adams Blvd
Fl Third
Los Angeles, CA 90007
403 W Adams Blvd
Ste 1
Los Angeles, CA 90007
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 54206
Los Angeles, CA 90074
101341 File
Pasadena, CA 91189
1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (310) 319-4000
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593
1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jgoldman58798@direct.uclahealth.org
Organizations & group practices 9
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.
-
dba UCLA Orthopedic Surgery Med Group
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1528179793
-
dba Orthopaedic Institute for Children
- Home Infusion Agency
- Los Angeles, CA
- NPI 1689632374
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1942300918
-
dba UCLA Orthopedic Surgery Med Group
- Durable Medical Equipment & Medical Supplies
- West Hills, CA
- NPI 1144112699
Sports Medicine
-
dba UCLA Orthopedic Surgery Med Group
- Orthopedic Physical Therapist
- Los Angeles, CA
- NPI 1679918395
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
dba Santa Monica UCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1689990038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLZ STE 755",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-319-1234",
"fax_number": "424-259-6560"
}
],
"practiceLocations": [
{
"address_1": "1920 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043414",
"country_code": "US",
"telephone_number": "760-409-4531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 16th St Ste 2100",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041249",
"country_code": "US",
"telephone_number": "424-259-6593",
"fax_number": "424-259-6560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043414",
"country_code": "US",
"telephone_number": "760-409-4531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JOSHUA",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-09",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A120763",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A120763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.