Jeffrey D Goss, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2510 Issued in CA

Practice address

16311 Ventura Blvd
Ste 630
Encino, CA 91436-4318

Phone

(818) 995-3039

Fax

(818) 995-3368

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1912902792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364318",
            "telephone_number": "818-995-3039",
            "fax_number": "818-995-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364318",
            "telephone_number": "818-995-3039",
            "fax_number": "818-995-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21713",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E25100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Rachelle Gordon, PT, DPT
• Mark Lorry Gordon, M.D.
• Gabriel Goren, MD
• Stephen Irwin Gorlick, D.D.S.
• Martin Neil Gorman, D.D.S.
• Barrett Delphine Gottlieb, PMHNP-BC
• Mahnaz Deborah Gozini, DDS
• Graceful Helping Home Health Care
• Graceful Nursing Home Health Care Inc
• Darlene M Graeser, PH.D.

• Podiatrist in Encino, CA
• Providers in Encino, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.

Verify at the official NPI Registry.