| Dr Gerald S Goldstein, MD | |
|
4100 Guardian St, Suite 205, Simi Valley, CA 93063-6717 | |
| (805) 577-2179 | |
| (805) 522-6401 |
| Full Name | Dr Gerald S Goldstein |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 51 Years |
| Location | 4100 Guardian St, Simi Valley, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760459754 | NPI | - | NPPES |
| 00G29720 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G29720N (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Entity Name | Southern Inyo Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831128602 PECOS PAC ID: 7911816731 Enrollment ID: O20040317000188 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald S Goldstein, MD 1051 12th St Apt 4, Santa Monica, CA 90403-4260 Ph: (310) 395-0087 | Dr Gerald S Goldstein, MD 4100 Guardian St, Suite 205, Simi Valley, CA 93063-6717 Ph: (805) 577-2179 |
Daniel Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-527-2462 | |
Craig Inouye, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-527-2462 | |
Robert Anthony Acquarelli, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6360 | |
Eric Cordes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6360 | |
Eugene S Ahn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2985 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-584-6611 Fax: 805-584-0530 |