Individual provider Active NPI

Michael Edward Gold, MD

  • Neurology Physician
  • Santa Monica, CA
National Provider Identifier
1750306155
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G47870 Issued in CA
Practice address
2021 Santa Monica Blvd
Suite 525E
Santa Monica, CA 90404-2208
Phone
(310) 829-2126
Fax
(310) 998-8887
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G47870 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd
Suite 525E
Santa Monica, CA 90404-2208

Mailing address

2021 Santa Monica Blvd
Suite # 525E
Santa Monica, CA 90404-2208
Phone (310) 829-2126

Other identifiers 1

IdentifierTypeStateIssuer
OOG478700MedicaidCA

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
I20060112000496 CA Practitioner - Neurology 2961425210 Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 525E
Santa Monica, CA 90404-2162
Phone (310) 829-2126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G47870CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin C. Amos, MD, Inc Neurology CurrentSince Jan 5, 2025 Accepting new patients
The Regents of the University of California CurrentSince Jul 1, 2015 Accepting new patients
The Regents of the University of California Neurology CurrentSince Jul 1, 2015 Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 405-9824

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

2021 Santa Monica Blvd
Ste 525E
Santa Monica, CA 90404
Phone (310) 829-2126

Interoperability endpoints

  • Direct secure messaging: mgold32437@direct.uclahealth.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1750306155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE # 525E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-2126",
            "fax_number": "310-998-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 525E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-2126",
            "fax_number": "310-998-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G47870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG478700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.