Individual provider Active NPI

Joshua Timothy Goldman, M.D., M.B.A

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1689990038
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A120763 Issued in CA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929000280 CA Practitioner - Family PracticePractitioner - Sports Medicine 2961622808 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
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

LicenseStateTypeSpecialty
A120763CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Sports Medicine CurrentSince Feb 2, 2015 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Feb 2, 2015 Accepting new patients
Orthopaedic Hospital CurrentSince May 14, 2019 Accepting new patients
Orthopaedic Hospital Medical Group Inc CurrentSince May 14, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.