DR. THEODORE B. GOLDSTEIN (NPI# 1053538694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053538694 |
Entity Type | Individual |
Full Name | DR. THEODORE B. GOLDSTEIN |
Credential | M.D. |
Practice Address |
120 S Spalding Dr Suite 400 Beverly Hills CA 90212-1800 |
Practice Telephone | 3108603450 |
Mailing Telephone | 3108603450 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2011-11-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | G13277 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | G13277 | 01 |
Street Address |
120 S SPALDING DR SUITE 400 |
City | BEVERLY HILLS |
State | CA |
Zip Code | 90212-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679568539 | William Seth Bolling | Orthopaedic Surgery | 120 S Spalding Dr, Suite 400, Beverly Hills, CA 90212-1800 | 2005-09-16 |
1104275791 | Eric Michael Johnson | Physician Assistant | 120 S Spalding Dr, Suite 401, Beverly Hills, CA 90212-1800 | 2016-06-06 |
1215394523 | Beverly Hills Doctors Surgery Center LLC | Clinic/Center | 120 S Spalding Dr, Suite 402, Beverly Hills, CA 90212-1800 | 2016-01-19 |
1295101590 | Peter Mendelsohn M D Inc | Anesthesiology | 120 S Spalding Dr, Suite 315, Beverly Hills, CA 90212-1800 | 2015-08-20 |
1821477886 | Chelsea Olivia Hagopian | Nurse Practitioner | 120 S Spalding Dr, Suite 315, Beverly Hills, CA 90212-1800 | 2015-05-23 |
1750760898 | Spalding Surgical Group | Orthopaedic Surgery | 120 S Spalding Dr, Ste 401, Beverly Hills, CA 90212-1800 | 2015-05-21 |
1720477581 | Jaime S Schwartz M.d., P.c | Specialist | 120 S Spalding Dr, Suite 315, Beverly Hills, CA 90212-1800 | 2015-01-16 |
1982005542 | Sahar Verdi Dds Dental Corp | Dentist | 120 S Spalding Dr, Suite 201, Beverly Hills, CA 90212-1800 | 2014-09-12 |
1306247960 | Hessam Nowzari Dds Phd Inc | Dentist | 120 S Spalding Dr, Suite 201, Beverly Hills, CA 90212-1800 | 2014-09-12 |
1235530627 | Benjamin Talei, Md | Otolaryngology | 120 S Spalding Dr, Suite 236, Beverly Hills, CA 90212-1800 | 2014-09-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
Find all providers in zip 90212 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649811084 | Firoozeh Baygi | Specialist | 292 S La Cienega Blvd Ste 332, Beverly Hills, CA 90211-3358 | 2019-10-07 |
1144782939 | Pacific Anti Aging Medical Group, Inc. | Specialist | 215 S La Cienega Blvd Ste 207, Beverly Hills, CA 90211-3322 | 2019-04-02 |
1629498944 | Ferris Stacey Strachan | Specialist | 450 N Bedford Dr Ste 203, Beverly Hills, CA 90210-4306 | 2014-04-25 |
1205253929 | Precision Anesthesia Group Inc | Specialist | 450 N Roxbury Drive, Suite 240, Beverly Hills, CA 90210-4240 | 2014-03-19 |
1003176017 | Lanny David Hajdu | Specialist | 9321 Burton Way Apt B, Beverly Hills, CA 90210-3647 | 2012-05-23 |
1841569191 | Bruce Anthony Porfilio | Specialist | 434 S Canon Dr, Suite 102, Beverly Hills, CA 90212-4554 | 2011-12-15 |
1265700272 | Jamshid Maddahi, Md, Inc. | Specialist | 50 N La Cienega Blvd Ste 150, Beverly Hills, CA 90211-3143 | 2011-12-05 |
1376864686 | West Hills Gastroenterology, LLC | Specialist | 264 S La Cienega Blvd, Suite 1188, Beverly Hills, CA 90211-3302 | 2010-06-21 |
1215261656 | Alon Pnini Md A Prof Corp | Specialist | 450 S Beverly Dr 2nd Floor, Beverly Hills, CA 90212-4415 | 2009-10-01 |
1316108996 | Scott M. Leeds, Md, A Medical Corporation | Specialist | 415 N Crescent Dr Ste 225, Beverly Hills, CA 90210-6809 | 2008-06-17 |
Find all providers in BEVERLY HILLS |
City | BEVERLY HILLS |
Zip Code | 90212 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.