MARK LEONARD GOLDSTEIN (NPI# 1487758033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487758033 |
| Entity Type | Individual |
| Full Name | MARK LEONARD GOLDSTEIN |
| Credential | MD |
| Practice Address |
6850 Sepulveda Blvd Suite 211 Van Nuys CA 91405-4451 |
| Practice Telephone | 8189940101 |
| Practice Fax Number | 8189942126 |
| Mailing Telephone | 8189940101 |
| Mailing Fax Number | 8189025566 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G34310 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1851495501 | 01 |
| CA | GR0044500 | 05 | |
| CA | GR0044501 | 05 | |
| MEDICARE ID GROUP | W11063A | 01 | |
| BLUE SHIELD | ZZZ47615Z | 01 | |
| CA | NPI | 1669576211 | 01 |
| CA | BLUE SHIELD | ZZZ31206Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649216342 | Mark G Goldstein | Internal Medicine | 19735 Germantown Rd Ste 255, Germantown, MD 20874-1219 | 2006-06-21 |
| 1932102357 | Mark A. Goldstein | Internal Medicine | 7505 Osler Dr, Ste 103, Towson, MD 21204-7737 | 2005-05-31 |
| 1144544503 | Mark Charles Goldstein | Pharmacist | 64 Carleton Ave Ste B, Suite B, Islip Terrace, NY 11752-1500 | 2010-03-15 |
| 1598095358 | Mark Charles Goldstein | Specialist | 12845 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014-3862 | 2009-12-30 |
| 1760656631 | Mark Adam Goldstein | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2008-04-22 |
| 1902947484 | Mark J Goldstein | Dermatology | 1 Long Wharf Drive, #30, New Haven, CT 06511-5991 | 2007-02-09 |
| 1376606863 | Mark Joel Goldstein | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2006-12-18 |
| 1952463200 | Mark Goldstein | Chiropractor | 512 Fashion Ave, 1404a, New York, NY 10018-4603 | 2006-12-14 |
| 1396816369 | Mark A. Goldstein | Preventive Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| 1679651210 | Mark Goldstein | Anesthesiology | 921 Gessner Rd, Attn: Anesthesia Dept, Houston, TX 77024-2501 | 2006-11-01 |
| Street Address |
6850 SEPULVEDA BLVD SUITE 211 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477580298 | Gnana Desigan | Internal Medicine | 6850 Sepulveda Blvd, Suite 214, Van Nuys, CA 91405 | 2006-06-27 |
| 1942834296 | Harina Shaji Mattappally | Nurse Practitioner | 6850 Sepulveda Blvd, Van Nuys, CA 91405-4444 | 2020-02-26 |
| 1861945115 | Hematology-oncology Medical Group of S F Valley | Non-Pharmacy Dispensing Site | 6850 Sepulveda Blvd, Suite 211, Van Nuys, CA 91405-4444 | 2016-08-03 |
| 1558625798 | Kambiz Kosari Md Inc | Surgery | 6850 Sepulveda Blvd, Suite 210, Van Nuys, CA 91405-4446 | 2012-07-03 |
| 1124336789 | Christina To | Internal Medicine | 6850 Sepulveda Blvd, Ste. 211, Van Nuys, CA 91405-4444 | 2010-09-16 |
| 1821205709 | Hematology-oncology Medical Group of Sf Valley | Internal Medicine | 6850 Sepulveda Blvd, Ste 211, Van Nuys, CA 91405-4444 | 2007-05-17 |
| 1386791218 | Suman N.patel,md A Professional Corporation | Internal Medicine | 6850 Sepulveda Blvd, Suite 217, Van Nuys, CA 91405-4444 | 2007-01-04 |
| 1437225174 | Suman N Patel | Internal Medicine | 6850 Sepulveda Blvd, Suite 217, Van Nuys, CA 91405-4444 | 2006-11-27 |
| 1114091337 | Suman N Patel Md A Prof Corp | Internal Medicine | 6850 Sepulveda Blvd, Ste 217, Van Nuys, CA 91405-4444 | 2006-11-20 |
| 1720163710 | Aziz Berjis | Podiatrist | 6850 Sepulveda Blvd, #209, Van Nuys, CA 91405-4444 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1316134455 | R. S. Vasan, Md., Inc | Internal Medicine | 15211 Vanowen St St. 201, Van Nuys, CA 91405 | 2007-10-03 |
| 1487846416 | Sheila Vasan | Internal Medicine | 6850 Sepulveda Blvd Ste 211, Van Nuys, CA 91405-4451 | 2007-08-14 |
| 1508885088 | Nubar Boghossian | Internal Medicine | 15211 Vanowen St Ste 201, Van Nuys, CA 91405-3627 | 2006-07-18 |
| 1609022383 | Ronald Tang | Internal Medicine | 6850 Sepulveda Blvd Ste 211, Van Nuys, CA 91405 | 2008-08-13 |
| 1265626360 | Jotika P. Thompson | Internal Medicine | 6850 Sepulveda Blvd Ste 211, Van Nuys, CA 91405-4451 | 2007-08-31 |
| 1821205709 | Hematology-oncology Medical Group of Sf Valley | Internal Medicine | 6850 Sepulveda Blvd, Ste 211, Van Nuys, CA 91405-4444 | 2007-05-17 |
| 1851495501 | Hematology Oncology Consultants | Internal Medicine | 6850 Sepulveda Blvd, Suite 211, Van Nuys, CA 91405-4451 | 2006-09-12 |
| 1578667127 | Stanley Herschel Rossman | Internal Medicine | 6850 Sepulveda Blvd, Suite 211, Van Nuys, CA 91405-4451 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| 1982106233 | Michael Benjmain, M.d., Inc. | Internal Medicine | 10630 Sepulveda Blvd Ste 202, Mission Hills, CA 91345-1938 | 2018-03-02 |
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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.