Individual provider Active NPI

Jeffrey Thomas Goletz, M.D.

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1699098145
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A130058 Issued in CA
Practice address
2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone
(925) 296-7150
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A130058 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

Mailing address

600 68TH Street
Downers Grove, IL 60516-3642
Phone (630) 963-4664

Other practice location 1

2650 Ridge Avenue
Evanston, IL 60201-1718
Phone (847) 570-2509

Other practice location 2

798 S Winchester Blvd
San Jose, CA 95128-2928
Phone (408) 984-7225

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
I20140916000012 CA Practitioner - Diagnostic Radiology 2365661840 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Geisel School of Medicine at Dartmouth, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solano Diagnostics Partners a Calif Limited PartnershipGroup PAC ID 4587556865, 43 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1002 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 646-4646

1020 Nut Tree Rd
Suite 150
Vacaville, CA 95687-4100
Phone (559) 455-4065

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

425 1St St
Unit 3306
San Francisco, CA 94105-4645
Phone (925) 296-7122

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

798 S Winchester Blvd
San Jose, CA 95128-2928
Phone (408) 984-7226

8 10TH St
Apt 3105
San Francisco, CA 94103-1440
Phone (707) 646-4646

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130058CAMDMental Health Counselor
A130058CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Nov 22, 2015 Accepting new patients
University Healthcare Alliance CurrentSince Aug 8, 2020 Accepting new patients
Bay Imaging Consultants Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Alameda Health System Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations (25 of 35)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-2300

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

20642 John Dr
Castro Valley, CA 94546
Phone (510) 581-2559

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

319 Diablo Rd
Danville, CA 94526
Phone (925) 314-0260

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

5725 W Las Positas Blvd
Ste 100
Pleasanton, CA 94588

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

798 S Winchester Blvd
San Jose, CA 95128
Phone (408) 984-7225

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Interoperability endpoints

  • Direct secure messaging: jgoletz300666@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1699098145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 68TH STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163642",
            "telephone_number": "630-963-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Avenue",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011718",
            "country_code": "US",
            "telephone_number": "847-570-2509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "798 S Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282928",
            "country_code": "US",
            "telephone_number": "408-984-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLETZ",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A130058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.