Individual provider Active NPI

Juhi Goswamy, M.D., M.P.H.

  • Internal Medicine Physician
  • San Anselmo, CA
National Provider Identifier
1821448317
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A163175 Issued in CA
Practice address
897 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916
Phone
(415) 500-4289
Fax
(415) 324-8129
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A163175 CA Primary

Addresses

Primary practice location

897 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916

Mailing address

PO Box 6671
Santa Rosa, CA 95406-0671
Phone (707) 544-7331

Other practice location 1

3 Harbor Dr Ste 111
Sausalito, CA 94965-1491
Phone (415) 683-2988

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
I20191029001848 CA Practitioner - Internal Medicine 3678805413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

897 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916
Phone (415) 500-4289

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163175CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G6 Concierge Medicine Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Sep 30, 2019 Accepting new patients

Locations

897 Sir Francis Drake Blvd
San Anselmo, CA 94960
Phone (415) 500-4289

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3 Harbor Dr
Sausalito, CA 94965

3 Harbor Dr
Ste 111
Sausalito, CA 94965
Phone (415) 683-2988

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1821448317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060671",
            "telephone_number": "707-544-7331",
            "fax_number": "707-948-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-500-4289",
            "fax_number": "415-324-8129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Harbor Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949651491",
            "country_code": "US",
            "telephone_number": "415-683-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSWAMY",
        "first_name": "JUHI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A163175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

Verify at the official NPI Registry.