Healther Providers Data Logo


Provider Type Icon

JEFFREY D GOSS DPM INC. NPI 1619012804


NPI Information

NPI: 1619012804
Provider Name: JEFFREY D GOSS DPM INC.

Doing Business As: ENCINO PODIATRY GROUP

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
16311 VENTURA BLVD
STE 630
ENCINO, CA
ZIP 91436
Phone: (818) 995-3039
Get Directions

JEFFREY D GOSS DPM INC. is a podiatric clinic center in Encino, CA. JEFFREY D GOSS DPM INC. NPI is 1619012804. The provider is registered as an organization entity type.
The provider Is Doing Business As Encino Podiatry Group.

The provider's business location address is:

16311 VENTURA BLVD
STE 630
ENCINO, CA
ZIP 91436-124
Phone: (818) 995-3039
Fax: (818) 995-3368

The provider's authorized official is Jeffrey David Goss .
The authorized official title is President and has the following contact phone number (818) 995-3039.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricE2510CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E25100MEDICAIDCALIFORNIA
25419080001MEDICARE NSCCALIFORNIA
3W21713OTHERCALIFORNIAMEDICARE PTAN
4T11366MEDICARE UPINCALIFORNIA
5E2510MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »