Active NPI
Michael Goldhamer M. D. Inc.
- Gastroenterology Physician
- San Diego, CA
National Provider Identifier
1710087630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G14025
- Legal business name
- MICHAEL GOLDHAMER M. D. INC.
- Practice address
- 501 Washington St
Suite 508
San Diego, CA 92103-2231 - Phone
- (619) 299-2570
- Fax
- (619) 819-7259
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Goldhamer, M. D.
- Title
- President
- Phone
- (619) 299-2570
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G14025 | CA | Primary |
Addresses
Primary practice location
501 Washington St
Suite 508
San Diego, CA 92103-2231
Mailing address
501 Washington St
Suite 508
San Diego, CA 92103-2231
Phone (619) 299-2570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G140250 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- San Diego, CA
- NPI 1104880202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292544000000",
"number": "1710087630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 508",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-299-2570",
"fax_number": "619-819-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 508",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-299-2570",
"fax_number": "619-819-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL GOLDHAMER M. D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2010-12-17",
"status": "A",
"authorized_official_last_name": "GOLDHAMER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-299-2570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G14025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G140250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Michael C. Jang, M.D., Inc.
- Michael D Crawford DDS Inc (Crawford Dental Group)
- Michael D Crawford DDS Inc (Murphy Canyon Dental Group)
- Michael G. McMahon Professional Dental Corporation
- Michael Gaspari Physical Therapy, P.C. (Tempered Strength PT)
- Michael H. Ho, DDS. Inc (iSmile Dental)
- Michael Ho, DMD, a Professional Dental Corporation
- Michael I Keller M.D. Inc (San Diego Arthritis Medical Clinic)
- Michael J. Miller, DMD, a Professional Corporation (Tierrasanta Plaza Dental Care)
- Michael J. O'Leary, M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.