Individual provider Active NPI

Zachary Max Goldstein, M.D.

  • Dermatopathology Physician
  • Los Angeles, CA
National Provider Identifier
1932561925
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A149661 Issued in CA
Practice address
1450 San Pablo St
Los Angeles, CA 90033-5331
Phone
(323) 442-6200
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A149661 CA
Dermatopathology (Pathology) Physician 207ZD0900X A149661 CA
Student in an Organized Health Care Education/Training Program 390200000X
Dermatopathology Physician 207ND0900X A149661 CA Primary

Addresses

Primary practice location

1450 San Pablo St
Los Angeles, CA 90033-5331

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-6601

Other practice location 1

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

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
I20201012001752 CA Practitioner - DermatologyPractitioner - Pathology 1254751399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582

1450 San Pablo St
Los Angeles, CA 90033-4500

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

Hospital & facility affiliations

  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149661CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2020 Accepting new patients
Csi Medical Group Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2020 Accepting new patients
K. D. Macknet, M.D., Inc. Dermatology Current Accepting new patients
David B. Friedman, MD, Inc Dermatology Current Accepting new patients
Usc Care Medical Group, Inc Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Timothy F. Richardson, M.D., a Medical Corporation Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2023 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Carlsbad and Vista Dermatology, Inc. Dermatology PastSince Jul 1, 2017 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

1620 E Second St
Ste N
Beaumont, CA 92223
Phone (951) 845-6500

25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224

1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335

1450 San Pablo St
Fl 2
Los Angeles, CA 90033

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1524 McHenry Ave
Ste 470
Modesto, CA 95350
Phone (209) 525-8292

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

36867 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 341-1999

399 Taylor Blvd
Ste 200
Pleasant Hill, CA 94523
Phone (925) 270-3575

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

6399 San Ignacio Ave
Ste 120
San Jose, CA 95119
Phone (408) 369-5620

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

Organizations & group practices 12

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 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1932561925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "626-457-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335331",
            "telephone_number": "323-442-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ZACHARY",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A149661",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A149661",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A149661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.