Active NPI
Georgia A Goldfarb, M.D.
- Pediatrics Physician
- Tarzana, CA
National Provider Identifier
1740416833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A43687
- Practice address
- 18555 Ventura Blvd
Suite B
Tarzana, CA 91356-4191 - Phone
- (310) 628-1700
- Fax
- (818) 614-3087
- NPI assigned
- Jun 3, 2009
- Last updated
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A43687 | CA | Primary |
Addresses
Primary practice location
18555 Ventura Blvd
Suite B
Tarzana, CA 91356-4191
Mailing address
20650 Whitecap Way
Malibu, CA 90265-5359
Phone (310) 317-4768
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110520000423 | CA | Practitioner - Pediatric Medicine | 1355527607 | Practice locations: Tarzana, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43687 | CA | MD | Professional Counselor |
| A43687 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Pediatric Specialists Medical Group, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba TEDDY Pediatrics, Inc.
- Pediatrics Physician
- Tarzana, CA
- NPI 1720273683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1740416833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20650 WHITECAP WAY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902655359",
"telephone_number": "310-317-4768",
"fax_number": "818-614-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 VENTURA BLVD",
"address_2": "SUITE B",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564191",
"telephone_number": "310-628-1700",
"fax_number": "818-614-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFARB",
"first_name": "GEORGIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A43687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.