Active NPI
Mija Goldsmith, CFNP
- School Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1740446509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 12845
- Practice address
- 1430 San Julian St
Los Angeles, CA 90015-3142 - Phone
- (213) 765-2800
- Fax
- (213) 765-3861
- NPI assigned
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 12845 | CA | Primary |
Addresses
Primary practice location
1430 San Julian St
Los Angeles, CA 90015-3142
Mailing address
3706 S Patton Ave
San Pedro, CA 90731-6034
Phone (310) 519-1384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12845 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1740446509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 S PATTON AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907316034",
"telephone_number": "310-519-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 SAN JULIAN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153142",
"telephone_number": "213-765-2800",
"fax_number": "213-765-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "MIJA",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "CA",
"license": "12845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.