| I Scott Goldman, MD | |
|
400 N Mountain Avenue, Ste 310, Upland, CA 91786 | |
| (909) 920-0876 | |
| (909) 982-0784 |
| Full Name | I Scott Goldman |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 44 Years |
| Location | 400 N Mountain Avenue, Upland, 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 |
|---|---|---|---|
| 1194820423 | NPI | - | NPPES |
| 125762100 | Other | CA | DEPARTMENT OF LABOR IDENTIFICATION |
| 200005004 | Other | CA | MEDICARE RAILROAD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A42592 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Casa Colina Hospital | Pomona, CA | Hospital |
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center For Bone And Joint Disorders | 6709836844 | 3 |
| Entity Name | Medical Center For Bone And Joint Disorders |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245336403 PECOS PAC ID: 6709836844 Enrollment ID: O20050126001127 |
| Entity Name | Q & M Physician Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114531035 PECOS PAC ID: 2668884487 Enrollment ID: O20201218000700 |
| Mailing Address | Practice Location Address |
|---|---|
| I Scott Goldman, MD 400 N Mountain Avenue, Ste 310, Upland, CA 91786 Ph: (909) 920-0876 | I Scott Goldman, MD 400 N Mountain Avenue, Ste 310, Upland, CA 91786 Ph: (909) 920-0876 |
Bunsri Thanasophon, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 285 East 24th Street, Upland, CA 91784 Phone: 909-946-8213 Fax: 909-946-8213 |