Organization Active NPI

S. Myron Goldstein MD Facs Inc

  • Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1790723351
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G26456 Issued in CA
Legal business name
S. MYRON GOLDSTEIN MD FACS INC
Practice address
431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821
Phone
(949) 273-7300
Fax
(714) 664-0225
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Stephen Myron Goldstein, MD
Title
Owner
Phone
(310) 995-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

1712 Newport Blvd
Ofc
Costa Mesa, CA 92627
Phone (949) 273-7300

2880 Atlantic Ave
Ste 190
Long Beach, CA 90806
Phone (562) 426-0778

431 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 366-6666

431 N Tustin Ave
Ste B
Santa Ana, CA 92705
Phone (714) 558-1124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1790723351",
    "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": "714-664-0225"
        },
        {
            "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": "714-664-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MYRON GOLDSTEIN MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-995-0893",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.