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MIA ALYSON GOLDMAN
NPI 1215624564
Internal Medicine in West Hollywood, CA

Active since April 18, 2023PECOS Enrolled
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048(310) 423-5161 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mia Alyson Goldman NPPES

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

MIA ALYSON GOLDMAN (NPI 1215624564) is an individual internal medicine provider in West Hollywood, California, licensed in California (1215624564) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215624564
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMIA ALYSON GOLDMAN
Location Address8700 BEVERLY BLVD STE 5512West Hollywood, CA 90048-1804
Mailing Address8700 Beverly Blvd Ste 5512West Hollywood, CA 90048-1804
Phone(310) 423-5161
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1215624564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 1215624564
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8700 BEVERLY BLVD STE 5512, West Hollywood, CA 90048
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Alyson Goldman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW HERMOSURA BAUTISTA
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
LILY JAMNESHAN MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
DR. VAN NGO MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
ALEX BENJAMIN LEVINE MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
JOHANN CHRISTIAN PARK
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
KAREN TSUNG
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
AUSTIN GONZALEZ MD
Hospitalist
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
SALIM CHAMOUN
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161

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 Mia Goldman's NPI number?

The NPI number for Mia Goldman is 1215624564. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Mia Goldman located?

Mia Goldman practices at 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048. The listed phone number is (310) 423-5161.

What is Mia Goldman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mia Goldman enrolled in Medicare?

Yes. Mia Goldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Goldman was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.