DR. DEREK JUSTIN GOLDEN (M.D.) – Emergency Medicine Physician, NPI 1710146204

DR. DEREK JUSTIN GOLDEN (M.D.) is a healthcare provider. based in Los angeles, California. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A112177 (CA). The NPI Number for DR. DEREK JUSTIN GOLDEN (M.D.) is 1710146204

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK JUSTIN GOLDEN (M.D.)
NPI
1710146204
Phone
Not provided
Address
5767 W CENTURY BLVD STE 400
Enumeration Date
9 June 2008
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
8053795435
Graduation Year
2007 (19 years ago)
PAC ID
4183755978
Group Practice PAC ID
4880582618
Professional Enrollment ID
I20100622000795
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DEREK JUSTIN GOLDEN (M.D.)

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States

    ENCINO, CA 914365300

    Phone:

    Type: Mailing

  • Medical Center Drive, West Hills, Los Angeles, Los Angeles County, California, 91307, United States

    WEST HILLS, CA 913071902

    Phone: (818) 676-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100622000795IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880582618View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. DEREK JUSTIN GOLDEN (M.D.) across health systems?
The NPI 1710146204 uniquely identifies DR. DEREK JUSTIN GOLDEN (M.D.) in U.S. healthcare data.
Should I treat DR. DEREK JUSTIN GOLDEN (M.D.) as an active provider?
Patients and plans typically see DR. DEREK JUSTIN GOLDEN (M.D.) as active in the national extract.
What services align with DR. DEREK JUSTIN GOLDEN (M.D.)'s listing?
DR. DEREK JUSTIN GOLDEN (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DEREK JUSTIN GOLDEN (M.D.)?
The directory associates DR. DEREK JUSTIN GOLDEN (M.D.) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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