Mark S Goldsworthy, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A71503 Issued in CA

Practice address

555 E Valley Pkwy
Palomar Medical Center
Escondido, CA 92025-3048

Phone

(760) 739-3000

NPI assigned

Aug 16, 2005

Last updated

May 17, 2010By the provider in NPPES

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 1

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

Specialty

Anesthesiology

Education

University of Wisconsin School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palomar Anesthesia Partners IncGroup PAC ID 3577046044, 39 clinicians

Anesthesia Consultants of California Medical Group IncGroup PAC ID 3375456692, 37 clinicians

Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Mammoth Hospital Hospital, Mammoth Lakes, CA, CCN 051303
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
• Northern Inyo Hospital Hospital, Bishop, CA, CCN 051324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Consultants of California Medical Group Inc

  • Anesthesiology Physician
  • Escondido, CA
  • NPI 1164463055
  Medicare reassignment Care Compare group NPD
• Palomar Anesthesia Partners Inc

  • Anesthesiology Physician
  • Escondido, CA
  • NPI 1174490445
  Medicare reassignment Care Compare group NPD
• Southern Mono Health Care District

  dba Mammoth Hospital

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Inyo Healthcare District

  dba Northern Inyo Hospital

  • Critical Access Hospital
  • Bishop, CA
  • NPI 1922198712
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation
• Southern Mono Health Care District

  dba Mammoth Hospital

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1982696068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 VIA DEL CAMPO",
            "address_2": "STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92127",
            "telephone_number": "858-673-6100",
            "fax_number": "858-673-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E VALLEY PKWY",
            "address_2": "PALOMAR MEDICAL CENTER",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253048",
            "telephone_number": "760-739-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSWORTHY",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A71503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A715030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Diane Goldberg
• Golden Age Hospice and Palliative Care LLC
• Golden State Medical Transport, LLC
• Golden Sunset Villa, LLC (Golden Sunset Villa Senior Living)
• Loren Goldstein, BS
• David John Golembeski, M.D.
• Parinaz Golozar Basiri
• Adalberta Gomez, SUDRC I
• Ana Camila Gomez, FNP-BC
• Elizabeth Gomez

• Anesthesiology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.

Verify at the official NPI Registry.