Individual provider Active NPI

Elliot L. Goldman, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Santa Monica, CA
National Provider Identifier
1699862169
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G18522 Issued in CA
Practice address
1301 20TH St
Suite 360
Santa Monica, CA 90404-2050
Phone
(310) 828-3465
Fax
(310) 315-0339
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G18522 CA Primary
Pulmonary Disease Physician 207RP1001X G18522 CA

Addresses

Primary practice location

1301 20TH St
Suite 360
Santa Monica, CA 90404-2050

Mailing address

PO Box 7250
Santa Monica, CA 90406-7250
Phone (310) 828-3465

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
I20101117001428 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4284787102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11810 Saticoy St
North Hollywood, CA 91605-2848
Phone (310) 828-3465

Hospital & facility affiliations

  • All Saints Healthcare Subacute Nursing home, North Hollywood, CA, CCN 056407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G18522CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Consultants of Santa Monica Critical Care Medicine CurrentSince Jan 1, 1973 Accepting new patients
Dignity Health Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

11810 Saticoy St
North Hollywood, CA 91605
Phone (310) 828-3465

1301 20th St
Ste 360
Santa Monica, CA 90404
Phone (310) 453-7856

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
All Saints HealthcareNorth Hollywood, CA, CCN 056407 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1997
Jan 1, 1997

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1699862169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904067250",
            "telephone_number": "310-828-3465",
            "fax_number": "310-315-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 360",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-828-3465",
            "fax_number": "310-315-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ELLIOT",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G18522",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G18522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.