Individual provider Active NPI

Mark Joseph Goleski, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1720247802
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A119406 Issued in CA
Practice address
1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone
(323) 644-3888
Fax
(323) 644-1634
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A119406 CA
Internal Medicine Physician 207R00000X A119406 CA Primary

Addresses

Primary practice location

1530 Hillhurst Ave
Los Angeles, CA 90027-5516

Mailing address

1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, AZ, NY, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180817000982 TX Practitioner - Internal Medicine 3375780570 Reassigns benefits to 3 organizations
I20190718001855 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375780570 Reassigns benefits to 4 organizations
I20220829003225 AZ Practitioner - Cardiovascular Disease (Cardiology) 3375780570 Reassigns benefits to 1 organization
I20220907000978 NY Practitioner - Cardiovascular Disease (Cardiology) 3375780570 Reassigns benefits to 1 organization
I20251120001332 IN Practitioner - Internal Medicine 3375780570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Dewitt Medical DistrictGroup PAC ID 3072421395, 32 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540

2200 N Section St
Sullivan, IN 47882-7523
Phone (972) 449-0540

224 E 2ND St
Dumas, TX 79029-3808
Phone (972) 449-0540

2500 N Esplanade St
Suite 102
Cuero, TX 77954-4727
Phone (361) 275-3466

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (972) 449-0540

3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540

Hospital & facility affiliations

  • Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. CurrentSince May 10, 2022 Accepting new patients
Dewitt Medical District CurrentSince Jan 1, 2019 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Dewitt Medical District CurrentSince Jan 1, 2019 Accepting new patients
Minuteclinic LLC CurrentSince May 7, 2022 Accepting new patients
Asian Pacific Health Care Venture, Inc. Current Accepting new patients
Minuteclinic Telehealth Services of Texas Association Cardiovascular Disease CurrentSince Mar 1, 2022 Accepting new patients
Dewitt Medical District Emergency Medicine Current Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc CurrentSince May 14, 2022 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

6015 E Brown Rd
Mesa, AZ 85205
Phone (480) 231-4641

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

19353 Victory Blvd
Tarzana, CA 91335
Phone (818) 996-4742

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

2500 N Esplanade St
Ste 102
Cuero, TX 77954
Phone (361) 275-3466

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Interoperability endpoints

  • Direct secure messaging: mark.goleski.p1@direct.aphcv.nextgenshare.com
  • Direct secure messaging: mark.goleski.1@32527.direct.athenahealth.com
  • Direct secure messaging: mark.goleski.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 12

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 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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1720247802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275516",
            "telephone_number": "323-644-3888",
            "fax_number": "323-644-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275516",
            "telephone_number": "323-644-3888",
            "fax_number": "323-644-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLESKI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A119406",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.