Active NPI
Brian Douglas Gold, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1962415489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10601
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10601 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VJ Tutson MD and Associates PC | Current | 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.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1699589507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.