WILLIAM G GOLDBLATT DPM A PROFESSIONAL CORPORATION
NPI 1710118138
Podiatrist in San Dimas, CA
About William G Goldblatt Dpm A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM G GOLDBLATT DPM A PROFESSIONAL CORPORATION (NPI 1710118138) is a healthcare organization registered as a podiatrist in San Dimas, California and active in the NPI registry since August 2009. The organization lists William Gerald Goldblatt, A Professional Corporation, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William G Goldblatt Dpm A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William G Goldblatt DPM A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 William G Goldblatt Dpm A Professional Corporation's NPI number?
The NPI number for William G Goldblatt Dpm A Professional Corporation is 1710118138. It was assigned to this organization in the NPPES registry on August 3, 2009.
Where is William G Goldblatt Dpm A Professional Corporation located?
William G Goldblatt Dpm A Professional Corporation is located at 322 N San Dimas Ave, San Dimas, CA 91773. The listed phone number is (909) 592-4438.
What is William G Goldblatt Dpm A Professional Corporation's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is William G Goldblatt Dpm A Professional Corporation enrolled in Medicare?
Yes. William G Goldblatt Dpm A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is William G Goldblatt Dpm A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through William G Goldblatt Dpm A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to William G Goldblatt Dpm A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William G Goldblatt Dpm A Professional Corporation was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# William G Goldblatt Dpm A Professional Corporation · NPI 1710118138
Podiatrist organization in San Dimas, California. Organization record, active in the CMS NPPES registry since August 3, 2009.
## Identity
- **NPI:** 1710118138 (Entity type: Organization)
- **Enumerated:** August 3, 2009
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** William Goldblatt, A PROFESSIONAL CORPORATION
## Practice location
- **Address:** 322 N SAN DIMAS AVE, San Dimas, CA 91773-2601
- **Phone:** (909) 592-4438 · **Fax:** (909) 592-4439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1710118138) · Data from the CMS NPPES public registry.