Active NPI
Sandra Goss Calman, MD
- Family Medicine Physician
- Montara, CA
National Provider Identifier
1861921819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00028791
- Practice address
- 1365 Buena Vista Rd
Montara, CA 94037-1527 - Phone
- (650) 728-1802
- NPI assigned
- Jun 5, 2017
- Last updated
- Mar 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00028791 | WA | Primary |
Addresses
Primary practice location
1365 Buena Vista Rd
Montara, CA 94037-1527
Mailing address
PO Box 371527
Montara, CA 94037-1527
Phone (650) 728-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00028791 | Other | WA | PHYSICIAN AND SURGEON MEDICAL LICENSE |
Other names 1
- Dr. Sandra G Goss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028791 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861921819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371527",
"city": "MONTARA",
"state": "CA",
"postal_code": "940371527",
"telephone_number": "650-728-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 BUENA VISTA RD",
"city": "MONTARA",
"state": "CA",
"postal_code": "940371527",
"telephone_number": "650-728-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALMAN",
"first_name": "SANDRA",
"middle_name": "GOSS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00028791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN AND SURGEON MEDICAL LICENSE",
"identifier": "MD00028791",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "GOSS",
"middle_name": "G",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.