Individual provider Active NPI

Leonard Irwin Goldstein, M.D. F.A.C.P.

  • Hepatology Physician
  • Los Angeles, CA
National Provider Identifier
1972534238
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
G16659 Issued in CA
Practice address
100 UCLA Medical PLZ
Suite 240
Los Angeles, CA 90024-6970
Phone
(310) 208-2355
Fax
(310) 824-2781
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G16659 CA
Hepatology Physician 207RI0008X G16659 CA Primary

Addresses

Primary practice location

100 UCLA Medical PLZ
Suite 240
Los Angeles, CA 90024-6970

Mailing address

PO Box 7247
Santa Monica, CA 90406-7247
Phone (310) 442-2113

Other identifiers 1

IdentifierTypeStateIssuer
00G166590MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1972534238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7247",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904067247",
            "telephone_number": "310-442-2113",
            "fax_number": "310-442-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-208-2355",
            "fax_number": "310-824-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LEONARD",
        "middle_name": "IRWIN",
        "credential": "M.D.  F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G16659",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "G16659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G166590",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.