KELLY ERICKSON GOLDMAN M.D.
NPI 1770896169
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Kelly Erickson Goldman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ERICKSON GOLDMAN M.D. (NPI 1770896169) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Erickson Goldman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Goldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Goldman's NPI number?
The NPI number for Kelly Goldman is 1770896169. It was assigned to this individual provider in the NPPES registry on July 14, 2010. The provider is also known as Kelly Therese Erickson M.D..
Where is Kelly Goldman located?
Kelly Goldman practices at 4950 W Sunset Blvd Fl 2 Radiation Oncology Dept, Los Angeles, CA 90027. The listed phone number is (323) 783-2841.
What is Kelly Goldman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelly Goldman enrolled in Medicare?
Yes. Kelly Goldman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Goldman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Goldman reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Kelly Goldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Goldman was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Erickson Goldman, M.D. · NPI 1770896169
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 14, 2010.
## Identity
- **NPI:** 1770896169 (Entity type: Individual)
- **Enumerated:** July 14, 2010
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4950 W SUNSET BLVD FL 2, RADIATION ONCOLOGY DEPT, Los Angeles, CA 90027-5822
- **Phone:** (323) 783-2841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770896169) · Data from the CMS NPPES public registry.