NPIMap

Individual provider Active NPI

Frederick St. Goar, M.D.

  • Interventional Cardiology Physician
  • Mountain View, CA
National Provider Identifier
1992710453
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G57372 Issued in CA
Practice address
2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126
Phone
(650) 962-4690
Fax
(650) 962-4694
NPI assigned
Jul 30, 2006
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G57372 CA Primary

Addresses

Primary practice location

2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126

Mailing address

2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126
Phone (650) 962-4690

Other identifiers 1

IdentifierTypeStateIssuer
GR0098530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000594 CA Practitioner - Cardiovascular Disease (Cardiology) 2567432230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2490 Hospital Dr
Suite 311
Mountain View, CA 94040-4126
Phone (650) 962-4690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57372CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jul 1, 2025 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2490 Hospital Dr
Ste 311
Mountain View, CA 94040
Phone (650) 962-4690

2500 Grant Rd
#240
Mountain View, CA 94040
Phone (650) 988-7903

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

Interoperability endpoints

  • Direct secure messaging: fstgoar7807@icare.elcaminohospital.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1992710453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 311",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404126",
            "telephone_number": "650-962-4690",
            "fax_number": "650-962-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 311",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404126",
            "telephone_number": "650-962-4690",
            "fax_number": "650-962-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GOAR",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G57372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.