Jerome Goldstein MD a Professional Corp

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

G15385 Issued in CA

Legal business name

JEROME GOLDSTEIN MD A PROFESSIONAL CORP

Practice address

909 Hyde St
Suite 228
San Francisco, CA 94109-4822

Phone

(415) 673-4600

Fax

(415) 673-9532

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Goldstein, M.D.

Title

Director

Phone

(415) 673-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1790211928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 228",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-673-4600",
            "fax_number": "415-673-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 228",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-673-4600",
            "fax_number": "415-673-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME GOLDSTEIN MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-673-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "G15385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFONIA MEDICAL BOARD NUMBER",
            "identifier": "G15385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Jergensen
• Harry E. Jergesen, MD
• Amy Jernigan, APRN
• Laura A. Jernigan, MD
• Megan Jernigan, OTR/L
• Jerome Goldstein MD a Professional Corporation (San Francisco Clinical Research Center)
• Jerome M. Weiss, M.D., Inc.
• Jerome Nicholas Jew (Jerome Nicholas Jew, MD)
• Randy C Jerrett
• David Jesitus

• Research Study Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.