DR. THEODORE B. GOLDSTEIN M.D.
NPI 1053538694
Specialist in Beverly Hills, CA

Q: What is Theodore Goldstein's NPI number?

The NPI number for Theodore Goldstein is 1053538694. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Theodore Goldstein's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Theodore Goldstein enrolled in Medicare?

No. Theodore Goldstein has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since April 18, 2007Opted out of Medicare · through Dec 9, 2026

120 S SPALDING DR, SUITE 400, BEVERLY HILLS, CA 90212(310) 860-3450 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theodore B. Goldstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE B. GOLDSTEIN M.D. (NPI 1053538694) is an individual specialist in Beverly Hills, California, licensed in California (G13277) and active in the NPI registry since April 2007. He has opted out of Medicare through December 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053538694

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. THEODORE B. GOLDSTEINCredential: M.D.

Location Address120 S SPALDING DR, SUITE 400Beverly Hills, CA 90212-1800

Mailing Address120 S Spalding Dr, Suite 400Beverly Hills, CA 90212-1800 · (310) 860-3450

Phone(310) 860-3450

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateNovember 17, 2011

✔ NPI 1053538694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G13277

Definition

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.

120 S SPALDING DR, Beverly Hills, CA 90212

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Other Identifiers 2

OtherG13277CA · State License

Medicare UPINA38924CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Theodore B. Goldstein M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2016 through December 9, 2026.

Opt-Out Effective DateDecember 9, 2016

Opt-Out In Effect ThroughDecember 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE PELOT MD INC

Anesthesiology

120 S SPALDING DR, STE. #301
BEVERLY HILLS, CA 90212

Los Angeles County (310) 385-7755

MARK ROTHMAN MD

Anesthesiology

120 S SPALDING DR, STE. 301
BEVERLY HILLS, CA 90212

Los Angeles County (310) 385-7755

KATRINA M. VLACHOS, M. D. INC.

Physical Medicine & Rehabilitation (Pain Medicine)

120 S SPALDING DR, #400
BEVERLY HILLS, CA 90212

Los Angeles County (310) 860-3409

DR. MICHAEL GERARD HANNON M.D.

Orthopaedic Surgery

120 S SPALDING DR
BEVERLY HILLS, CA 90212

Los Angeles County (310) 860-3048

BRIAN M. KINNEY M.D. INC

Plastic Surgery

120 S SPALDING DR, SUITE 330
BEVERLY HILLS, CA 90212

Los Angeles County (310) 858-1042

ERIC MICHAEL JOHNSON PA-C

Physician Assistant

120 S SPALDING DR, SUITE 401
BEVERLY HILLS, CA 90212

Los Angeles County (310) 860-3048

HUSSAM Y. ANTOIN, M.D., A MEDICAL CORPORATION

Anesthesiology

120 S SPALDING DR, STE.#301
BEVERLY HILLS, CA 90212

Los Angeles County (310) 385-7755

DR. BENJAMIN AZIZ TALEI MD

Otolaryngology (Facial Plastic Surgery)

120 S SPALDING DR, SUITE 236
BEVERLY HILLS, CA 90212

Los Angeles County (310) 288-0641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Goldstein's NPI number?

The NPI number for Theodore Goldstein is 1053538694. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Theodore Goldstein located?

Theodore Goldstein practices at 120 S Spalding Dr Suite 400, Beverly Hills, CA 90212. The listed phone number is (310) 860-3450.

What is Theodore Goldstein's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Theodore Goldstein enrolled in Medicare?

No. Theodore Goldstein has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Goldstein was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.