Individual provider Active NPI

Brian Douglas Gold, PH.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1962415489
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10601 Issued in CA
Practice address
6330 San Vicente Blvd
Suite 520
Los Angeles, CA 90048-5455
Phone
(310) 274-2843
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10601 CA Primary
Clinical Psychologist 103TC0700X PSY10601 CA

Addresses

Primary practice location

6330 San Vicente Blvd
Suite 520
Los Angeles, CA 90048-5455

Mailing address

6330 San Vicente Blvd
Suite 520
Los Angeles, CA 90048-5455
Phone (310) 274-2843

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071015000222 CA Practitioner - Clinical Psychologist 3678669181 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6330 San Vicente Blvd
Suite 520
Los Angeles, CA 90048-5494
Phone (310) 274-2843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10601CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
VJ Tutson MD and Associates PC CurrentSince Feb 9, 2025 Accepting new patients

Locations

6330 San Vicente Blvd
Ste 520
Los Angeles, CA 90048
Phone (310) 274-2843

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1962415489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-274-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-274-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10601",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.