Active NPI
Michael Edward Gold, MD
- Neurology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G47870
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG478700 | Medicaid | CA |
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G47870 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwin C. Amos, MD, Inc | Neurology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Neurology | Current | 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
- 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.
-
- Neurology Physician
- Santa Monica, CA
- NPI 1902615156
-
- Neurology Physician
- Los Angeles, CA
- NPI 1437117074
-
- Land Ambulance
- Los Angeles, CA
- NPI 1962219410
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.