Active NPI
Stephen Myron Goldstein, MD
- Surgery Physician
- Santa Ana, CA
National Provider Identifier
1770526360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G26456
- Practice address
- 431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821 - Phone
- (949) 273-7300
- Fax
- (714) 644-0225
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G26456 | CA | Primary |
Addresses
Primary practice location
431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821
Mailing address
431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821
Phone (949) 273-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26456 | CA | MD | Dentist |
| G26456 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1770526360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 N TUSTIN AVE",
"address_2": "SUITE B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053821",
"telephone_number": "949-273-7300",
"fax_number": "714-644-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 N TUSTIN AVE",
"address_2": "SUITE B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053821",
"telephone_number": "949-273-7300",
"fax_number": "714-644-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "STEPHEN",
"middle_name": "MYRON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G26456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.